The State Of The Marketplaces: Fulfilling The Promise Of The ACA

Editor’s Note

As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major achievements of the last four years, remaining challenges, and lessons learned. Previously, CMS Administrator Chicquita Brooks-LaSure reflected on her tenure and leaders of the Medicare and Medicaid programs offered their thoughts. Today’s article focuses on the Affordable Care Act Marketplaces, then the series will conclude with a discussion of the Innovation Center.

The Biden-Harris Administration has presided over record enrollment in health insurance coverage and significant reductions in the national uninsurance rate. Since the first open enrollment for Affordable Care Act (ACA) Marketplace coverage, plan...