Chart: Change in Q1 ACA enrollmentThe number of people who have to buy health insurance coverage on the individual market and fork over the whole cost themselves has decreased by some 651,000 (five percent) in the wake of the repeal of the individual mandate penalty for the Affordable Care Act.

A new Kaiser Family Foundation analysis finds that all of the losses occurred in the off-exchange market, where people are not eligible for tax credits. Marketplace plans, on the other hand, saw their enrollment hold steady at 10.6 million during the first quarter of this year; that includes 9.3 million low- and moderate-income enrollees who do receive tax credits as an assist to pay for plan premiums.

Related: Unsubsidized ACA enrollment down by more than a million

According to the Centers for Medicare and Medicaid, the number of new consumers signing up for plans in 2019 dropped by 16 percent, from 3.2 million to 2.7 million. KFF says that the decrease in new signups could be a result of several factors, including ”reductions in outreach and consumer assistance, repeal of the individual mandate penalty, or broader economic factors that may make people less likely to come into the market.”

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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