As enrollment on the ACA exchanges surges, insurer participation growth is more modest: study

Fierce Healthcare January 19, 2022
Paige Minemyer

The number of plans offered under the Affordable Care Act (ACA) for 2022 hit 15,638, up 15% from the 2021 plan year, according to a new analysis.

While membership in exchange plans skyrocketed over the course of 2021, thanks to a lengthy special enrollment period under the pandemic and enhanced premium tax credits, insurer participation grew more slowly than in recent years, according to the report, which was penned by Kathy Hempstead, senior policy adviser at the Robert Wood Johnson Foundation.

The report finds a notable shift toward the exchanges, with growth in exchange plans at 20% compared to 6.8% for off-exchange plans.

“In the short-to-medium run, the most likely prospect for enrollment growth will come from the coverage provisions...

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