ACA Exchange Signup Season Kicks Off With Rich Subsidies, More Federal Oversight

When the 2023 open enrollment period for Affordable Care Act exchange plans officially begins on Nov. 1, health insurers will be offering plans in a market full of contrasts: where, for example, rising premiums are masked by enhanced subsidies, and where health plan competition is at its highest level but there’s fewer new-to-the market insurers than there were in 2022.

New regulatory changes are also taking effect in the 2023 plan year. Most notably, insurers will have to offer standardized plans alongside their other products for the first time since the Obama administration, and CMS will be evaluating plans for quantitative network adequacy standards.

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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