NASHP December 10, 2018
Early reports from the Centers for Medicaid & Medicare Services indicate 2019 enrollment in the federally facilitated marketplace (FFM) could be lower than 2018, which would continue a declining enrollment trend first seen in 2017, which prompts the question – why?
As this chart shows, policies and investment in outreach and application assistance for consumers matter. The enrollment decline in 2018 coincided with federal cuts to Affordable Care Act (ACA) marketing and the navigator program, widespread confusion spurred by prolonged efforts to repeal and replace the ACA, and the repeal of the individual mandate, which goes into effect for the 2019 plan year.
The elimination of the federal cost-sharing reduction funds for the lowest-income marketplace enrollees likely also had an...
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