The Affordable Care Act substantially transformed the market for non-group private health insurance, introducing new consumer protections and coverage standards and establishing Health Insurance Marketplaces. The Marketplaces allow consumers to choose from among a menu of health insurance plans and to receive financial support in the form of Advanced Premium Tax Credits and Cost Sharing Reduction payments. This issue brief highlights research findings on the impacts of the Health Insurance Marketplaces in their first ten years. Marketplace sign-ups have grown from 8 million in 2014 to over 21 million in early 2024.
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