The impact of brokers on ACA marketplace growth

Author:

Gürel Aleka1

Affiliation:

1. HealthSherpa Sacramento California USA

Abstract

AbstractBrokers are an under‐studied channel of enrollment in the affordable care act (ACA), having grown to support nearly 80% of active federally facilitated marketplace (FFM) enrollment during the 2024 Open Enrollment Period. Brokers enroll a disproportionately low‐income and new‐to‐market consumer base compared to the core exchange websites, and have contributed to the record‐breaking growth in the ACA Marketplace in recent years. Understanding the role brokers play and the technological and policy changes that have enabled their work may help state‐based marketplaces improve stagnant enrollment growth.

Publisher

Wiley

Reference41 articles.

1. Ario J. Garcimonde A. &Kingsdale J.(2014).Understanding the potential role web brokers can play in state‐based marketplaces.https://www.shvs.org/resource/understanding-the-potential-role-web-brokers/

2. BeWellNM. (2024).Appendix‐G‐requirements‐workbook‐updated‐02.23.24.https://bewellnm.com/wp-content/uploads/2024/02/Appendix-G-Requirements-Workbook-updated-02.23.24.xlsx

3. Blumberg L. J. Rifkin S. Corlette S. &Dash S. J.(2013).Stabilizing premiums under the affordable care act: state efforts to reduce adverse selection. The Urban Institute.

4. Centers for Medicare & Medicaid Services. (n.d.).2016‐2020 navigator funding and enrollment data.https://www.cms.gov/files/document/2016-2020-navigator-funding-and-enrollment-data.xlsx

5. Centers for Medicare & Medicaid Services. (2013).Helping consumers complete an enrollment starting December 1st: Tips for agents and brokers.https://www.cms.gov/files/document/agent-broker-consumer-tips-12-1-2013pdf

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