HIT Consultant December 8, 2025
The upcoming Affordable Care Act (ACA) Open Enrollment (OE) period presents at least three major challenges for health plans: Legislative changes, double-digit premium increases, and potentially expiring subsidies. To maintain membership and a positive user experience, health plans must carefully evaluate their approach to enrollment, engagement, and retention.
New rules are reshaping OE workflows, while price increases create affordability concerns for members. It’s difficult for health plans to manage these challenges effectively — even with the help of AI — as long as they rely on fragmented data and manual operations. Payers will need a robust, integrated ecosystem to support their members through this transition.
Major Changes Pending for ACA Coverage in 2026
Obtaining or maintaining health coverage...
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