(Credit: Centers for Medicare and MedicaidServices)
The Affordable Care Act (ACA) public exchange system ended upwith about as many individual and family major medicalinsurance signups for 2020 as it had for 2019.
|Charles Gaba has compiled preliminary data on the latest signuptotals for his ACASignups.net tracking blog.
|Related: States' success with ACA exchanges inspiring othersto break free of Healthcare.gov
|The total number of signups fell to 11.42 million for 2020, from11.44 million for 2019, according to Gaba.
|ACA public exchange basics
The ACA public exchange system provides a kind of web-based shopfor health insurance.
|Some states run their own ACA public exchange programs.
|The U.S. Department of Health and Human Services (HHS) providesACA exchange services for residents of other states throughHealthCare.gov.
|HHS reports public exchange activity in terms of signups, ratherthan sales, because consumers who sign up for coverage must send inpayments to effectuate the coverage. HHS and many states report onsignups too quickly to have complete data on how many of the peoplewho signed up for coverage sent in payments.
|The gorilla states
Although the total number of ACA public exchange signups wasdown 0.2 percent this year, some states had better resultsthan others.
|Mississippi showed the biggest signup growth, and Virginiareported the biggest signup drop.
|The number of signups increased 12 percent inMississippi, to 98,892, and fell 18 percent in Virginia,to 269,474.
|The 2020 signup numbers for the states with the most publicexchange users in 2019 suggest that, in those states, success isbreeding success.
|The five states that had more than 400,000 ACA exchange signupsfor 2019 all produced more signups for 2020.
|Here are how those five states did:
- Florida (HealthCare.gov): 1.9 million(up 7.3 percent)
- California (state-based): 1.5 million(up 1.6 percent)
- Texas (HealthCare.gov): 1.1 million(up 2.7 percent)
- North Carolina (HealthCare.gov):505,275 (up 0.8 percent)
- Georgia (HealthCare.gov): 463,910 (up1.2 percent)
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Allison Bell
Allison Bell, ThinkAdvisor's insurance editor, previously was LifeHealthPro's health insurance editor. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached at [email protected] or on Twitter at @Think_Allison.
