The Centers for Medicare & Medicaid Services (CMS) reports that 21.3 million consumers have signed up for 2024 individual market health insurance coverage through the Marketplaces since the start of the 2024 Marketplace Open Enrollment Period (OEP) on November 1. This includes 16.4 million Marketplace plan selections in the 32 states using the HealthCare.gov platform for the 2024 plan year through the end of the OEP on January 16, 2024 (Week 11+), and 4.9 million plan selections in the 18 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through January 13, 2024 (Week 11) or the end of their OEP[1]. Total nationwide plan selections include 5 million consumers (24% of total) who are new to the Marketplaces for 2024, and 16.3 million consumers (76% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew or select a new plan for 2024.
Historic 21.3 Million People Choose ACA Marketplace Coverage
Marketplace enrollment climbs nearly 5 million higher than previous year
The Biden-Harris Administration announced 21.3 million people selected an Affordable Care Act Health Insurance Marketplace plan during the 2024 Open Enrollment Period. Total plan selections include more than five million people — about a fourth — who are new to the Marketplaces and 16 million people who renewed their coverage. Notably, open enrollment continues in four states and Washington, D.C., through January 31.
Statement by President Joe Biden on the Record-Breaking 2024 Open Enrollment Period Under the Affordable Care Act
Today, we broke another record when it comes to lowering costs and ensuring Americans have access to quality, affordable healthcare: 21.3 million Americans have signed up for health coverage through Affordable Care Act marketplaces. That means 9 million more people have gained coverage under the law - and peace of mind - since I took office. It’s no accident. My actions to protect the Affordable Care Act and lower premiums continue to make a big difference. And the American people have made it clear: they don’t want the Affordable Care Act weakened and repealed – they want it strengthened and protected.
...we could now be looking at anywhere from 21.4 - 22.7 million QHPs, for a grand total of somewhere between 22.7 - 24.0M QHPs+BHPs combined by the time the dust settles in every state on January 1st. I'll stick with 23M for the moment just in case...
A week later, the Centers for Medicare & Medicaid Services (CMS) posted their final pre-deadline Open Enrollment Snapshot Report, which confirmed that over 20.3 million people had selected Qualified Health Plans (QHPs) through December 23rd.
As promised, here's my full state-by-state breakout of the latest 2024 ACA Open Enrollment Period "Snapshot" report as we head into the final week of enrollment in most states.
Here's an overview of the year over year comparison. I had to adjust for the missing day (thru 12/23 instead of 12/24 last year). I've also had to adjust for the fact that Virginia moved from the federal exchange to its own platform this year:
Under the Biden-Harris Administration, Over 20 Million Selected Affordable Health Coverage in ACA Marketplace Since Start of Open Enrollment Period, a Record High
As January 16 coverage deadline approaches, Biden-Harris Administration continues to encourage Americans to sign up for quality, affordable health care coverage
Under the Biden-Harris Administration, the U.S. Department of Health and Human Services announced today that over 20 million people have selected an Affordable Care Act (ACA) Health Insurance Marketplace plan since the 2024 Marketplace Open Enrollment Period launched on November 1 — a record number of enrollments.
CMS's press release states that they won't be posting the next detailed/state-by-state enrollment breakout until January 10th, so aside from a handful of minor SBM updates here and there, there hasn't been much to report on the enrollment front since then...until this:
Three key takeaways from the CMS snapshot of the first 18 days of Open Enrollment:
1. HealthSherpa is up nearly 70% year over year, with over 2.4 million people enrolled.
2. The entire Federal Marketplace is up 40% year over year, with almost 4.1 million people covered in the same time frame.
3. We estimate that 2 out of 3 new enrollments in Federal Marketplace states - people newly covered by the ACA - came through HealthSherpa.
Policies: 1.79M
Covered Lives: 2.43M
At the time, 2.43 million enrollees via Sherpa and their affiliates represented roughly 60% of all HC.gov enrollees for the first 18 days of the 2024 ACA Open Enrollment Period.
HealthSherpa continues to be the largest private channel for ACA enrollments in the US, insuring over 5 million people for 2023 and growing more than 50% year over year
In its strongest season yet, HealthSherpa has enrolled more than 5 million people in Plan Year 2023 coverage and enrolled HALF of all new Affordable Care Act enrollees in Federally Facilitated Marketplace (FFM) states during Open Enrollment. HealthSherpa now accounts for 35% of all FFM enrollments and volume grew more than 50% year over year, far outpacing the FFM as a whole which grew only 13% (1).
