Fierce Healthcare November 27, 2023
Paige Minemyer

With their recent stability, the Affordable Care Act marketplaces are well-positioned for innovation—but there’s still room to take what’s working nationwide, according to a new report.

As of 2023, 20 states operate a state-based marketplace and 30 rely on Healthcare.gov for sign-ups. Some state-based exchanges use the federal website for enrollment. State-based programs that use their own website have greater flexibility to roll out enrollment campaigns or programs to make signing up easier, for example, according to a new policy brief from the Commonwealth Fund.

Five state-based marketplaces, for instance, use that ability to establish “easy enrollment” programs. In these initiatives, residents can note on their tax forms if they are uninsured and interested in gaining coverage. The state can...

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Topics: ACA (Affordable Care Act), Govt Agencies, Insurance, States
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