Oliver Wyman December 2, 2022
Travis Kistler, Shyam Vichare, Terry Burke, and Andrew Lay

Knowing what plans to offer to which customers and at what price is critical as plans continue to navigate uncertainty in the ACA Marketplace.

The Affordable Care Act Marketplace has experienced numerous twists and turns since the inaugural open enrollment period in 2013. This period is no different as we are witnessing a rebound following significant contraction between 2015-2018. Total On-Marketplace membership climbed to 14.5 million in 2022. Combined with an estimated 2.9 million Off-Marketplace members, overall participation sits at over 17 million. Marketplace retention rates also increased the last four open enrollment periods, from about 74% to 95%.

We estimate that the number of carriers in the...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer
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