Policy Innovations in the Affordable Care Act Marketplaces

Commonwealth Fund November 21, 2023
Rachel Schwab, Rachel Swindle, Jalisa Clark, Justin Giovannelli

TOPLINES

With enrollment in the ACA marketplaces at a record high and expected to grow further, many states are experimenting with ways to make shopping for the right health care coverage easier and more efficient for consumers

State insurance marketplaces have pursued innovations that help consumers navigate their plan options, reduce administrative burdens, require or incentivize insurer participation, and address disparities in coverage and care

Abstract

• Issue: Enrollment in the Affordable Care Act (ACA) marketplaces is at an all-time high, and sign-ups are expected to increase as Medicaid redeterminations resume. These gains, alongside a more stable legal and political environment relative to the ACA’s early years, may provide opportunities for marketplaces to pursue innovative and consumer-friendly policies that bolster...

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