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ACA Marketplace

Affordable Care Act marketplace analysis, enrollment trends, premium dynamics, subsidy policy, risk adjustment, and actuarial implications.

Recent News

Georgia: Effectuated ACA enrollment down 28% y/y; at least 370,000 have already lost coverage

ACA Signups

New Jersey: Effectuated ACA enrollment down 11.5% y/y; at least 57,000 have already lost coverage

ACA Signups

How Employers Support Lower-Waged Workers’ Access to Health Insurance Options

KFF

Oscar unveils Lucie, its one-stop shop for individual market plans, supplemental benefits

Fierce Healthcare

Massachusetts: OEP plan selections up 3.7% y/y...actual effectuated enrollment flat & dropping...

ACA Signups

California: Effectuated ACA enrollment down 5.6% y/y; could drop by 12% or more by end of 2026

ACA Signups

ACA enrollment declines as fewer enrollees pay their premiums

Healthcare Finance

NYC Mayor Eyes City-Run Insurance Program for Affordable Housing

Insurance Journal

Erica Schwartz, ex-deputy surgeon general, picked to be next CDC director

Healthcare Dive

ACA exchanges will continue to shrink as fewer enrollees pay premiums, analysis suggests

Healthcare Dive

Hoo boy. Wakely Consulting projects effectuated ACA enrollment to drop 3.8 - 5.8M this year

ACA Signups

Hoo boy. Wakely Consulting projects effectuated ACA enrollment to drop 3.8 - 5.8M this year

ACA Signups

Colorado: Q1 effectuated enrollment down 5.3% y/y; could drop by up to 9.1% or more by end of 2026

ACA Signups

Colorado: Q1 effectuated enrollment down 5.3% y/y; could drop by up to 9.1% by end of 2026

ACA Signups
Featured Analysis

ACA Marketplace 2026: Subsidy Cliff, Enrollment Shock, and What Actuaries Need to Know

Enhanced subsidies expired, enrollment dropped to ~23M, median premiums up 18%, Aetna exited. Deep actuarial analysis of risk pool dynamics, adverse selection, state subsidies, and GLP-1 cost pressures.

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