2024 ACA Open Enrollment: Steady Plan Competition, Tailored Benefits

Ahead of the 2024 open enrollment period for Affordable Care Act exchange plans that began on Nov. 1, major U.S. health insurers issued a spate of press releases touting their plan options and listing new areas in which they’d offer coverage. While ACA marketplace experts say that 2024 will not feature any seismic changes in terms of insurer competition — given the exchanges’ history of mass insurer exits and panic over “bare counties” with no available health plans, that may be a good thing.

“Overall participation by carriers is down from last year, when there was also a slight decline,” says Katherine Hempstead, Ph.D., who for years has helped produce the Robert Wood Johnson Foundation (RWJF) ACA Marketplace Participation Tracker. “So after several years of increased entry into new states, now we have seen a real leveling off,” adds Hempstead, who is RWJF’s senior policy adviser.

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