Tracking Health Enrollment Shifts for 2014

As a result of the Affordable Care Act (ACA), there will be significant changes to how people are concentrated by coverage type over the next five years. Many people are expected to switch from employment-based coverage to off-exchange individual plans while others will qualify and enroll in public exchanges, according to a report by Mark Farrah Associates.

The report summarizes findings of an April 2014 Congressional Budget Office (CBO) report. Six million people are projected to have coverage through the public exchanges in 2014. The report also reveals the following:

  • An estimated 7 million will get Medicaid and CHIP coverage by 2015. The ACA is expected reduce employment-based coverage by 2 million.
  • The number enrolled in non-group coverage and other coverage outside the exchanges is projected to decline by 3 million in 2015.
  • Aggregate enrollment in the individual, major medical segment grew by more than 2 million members.
  • Managed Medicaid membership increased by about 5.5 million. Enrollment in group risk plans dropped 4.6 million from March 2013 to March 2014.
  • In the past year, membership grew by more than 1 million for employer group ASO plans (administrative services only for self-funded business).

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Last Updated 01/19/2022

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