Affordable Care Act health insurance exchanges

Marketplace Enrollment Declines

With the elimination of enhanced premium tax credits, enrollment in Affordable Care Act health insurance exchange plans is falling. Last year saw 24 million people enroll in ACA marketplace plans – an all-time high.  2026 enrollment, though, is down 1.2 million, or five percent – the largest year-to-year decline since the exchanges started offering health insurance in 2014.  Overall, enrollment has fallen in 41 states, with those declines ranging from one to 22 percent. In addition, 14 percent of those who signed up for plans in 2026, or who were automatically reenrolled because of past enrollment, did not pay their [...]

2026-06-10T11:43:01-04:00June 11, 2026|Affordable Care Act|

Some States Step in to Help Offset Health Exchange Changes

Enhancing existing state subsidies to help pay health insurance premiums. Replacing lost premium tax credits. Reducing monthly premiums. Extending subsidies to some middle-income individuals and families. Mitigating the loss of eligibility for lawfully present immigrants. These are among the steps that some state governments have taken to try to offset the impact of changes in Affordable Care Act health exchange eligibility and insurance premium assistance that took effect on January 1. Learn more about these and other mostly one-year fixes from the Commonwealth Fund report “Some States Blunted the Impact of Lost Federal Marketplace Subsidies, But Efforts Will Be Hard [...]

2026-04-21T16:49:34-04:00April 22, 2026|Affordable Care Act|

Medicaid Unwinding Runs Into More Problems

When the COVID-19-era policy of continuous Medicaid eligibility came to an end and the process known as Medicaid unwinding began, policymakers expected significant numbers of people who lost their Medicaid eligibility to find new, affordable coverage in Affordable Care Act health insurance exchange plans. But while bureaucratic snafus that have resulted in millions of people losing their Medicaid eligibility because of paperwork problems rather than income that exceeded Medicaid eligibility criteria have received the most post-pandemic attention, other challenges have arisen that are preventing people from finding new, affordable insurance to replace their Medicaid coverage.  Among them: ACA plans are [...]

2023-10-09T06:00:41-04:00October 9, 2023|Affordable Care Act|
Go to Top