5 Themes To Watch As The ACA Heads Into Its Second Decade

Over the past 10 years, the Affordable Care Act has become an essential part of the nation’s healthcare infrastructure. Coverage has doubled since the first plans launched, growing at nearly a 7% compound annual growth rate. Enrollment boomed from 8 million On-Exchange enrollees in 2013 to a record 16 million in 2023, that number hits 20 million when Off-Exchange enrollees are included. The Biden administration predicts that 2024 Marketplace enrollment will climb to 19 million people; another 3 million to 5 million could sign up directly with carriers off the Exchanges. As of late-December, 15 million people had enrolled via a federal or state-based Exchange.

But it hasn’t been a smooth...