How ACA Plans Can Stay Agile in a Tightening Market

Posted by Adam Chernew on Fri, Feb 22, 2019

Peter Manoogian and Josh Lacey co-wrote this blog post with Adam Chernew.

February marks the end of open enrollment on the federal and state health insurance exchanges created by the Affordable Care Act (ACA), and while a few state-based exchanges have yet to report their final numbers, it’s clear that 2019 enrollment (around 11.5 million people) on the ACA exchanges will fall just short of 2018 results (around 11.8 million people). Of course, this difference is minor compared to the difference between the Congressional Budget Office’s original 2019 enrollment projection (made in 2010) of 24 million.


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