• Where ACA Enrollment is Growing the Fastest and Why

    Marketplace enrollment has more than doubled in 15 states since 2020, including in Texas, where signups more than tripled. None of the five states with the largest growth in recent ACA marketplace enrollment have expanded Medicaid under the ACA.
  • 2024 Medical Loss Ratio Rebates

    Insurers estimate they will pay $1.1 billion in Medical Loss Ratio rebates in 2024 to select individuals and employers that purchase their health coverage. The ACA limits the amount of premium income that insurers can keep for administration, marketing, and profits.

  • The Affordable Care Act 101

    This Health Policy 101 chapter provides an overview of the Affordable Care Act (ACA), a major reform of the U.S. health care system aimed at reducing high uninsured rates and alleviating issues like high out-of-pocket costs and coverage exclusions for preexisting conditions.

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