HealthCare.gov Enrollment Hits Record High; State-Based Marketplace Enrollment Shrinks
A record high 16.4 million people enrolled in Affordable Care Act marketplace coverage during the 2023 Open Enrollment Period, including 12.2 million people who live in states using HealthCare.gov and 4.2 million in 18 states with their own marketplace, according to CMS. Enrollment in HealthCare.gov marketplaces was up 19% compared with 2022, while signups in the state-based marketplaces saw a slight decline for the first time since 2019.
More than half of states saw their enrollment increase by at least 5% from 2022 to 2023, with five states experiencing signup surges of more than 25%. Meanwhile, plan selections in Kentucky, Massachusetts and New Mexico shrunk by over 10% year over year.