ACA Exchange System Keeps Growing in Its Core States

HHS reports public exchange activity in terms of signups, rather than sales, because consumers who sign up for coverage must send in payments to effectuate the coverage. HHS and many states report on signups too quickly to have complete data on how many of the people who signed up for coverage sent in payments.

The Gorilla States

Although the total number of ACA public exchange signups was down 0.2% this year, some states had better results than others.

Mississippi showed the biggest signup growth, and Virginia reported the biggest signup drop.

The number of signups increased 12% in Mississippi, to 98,892, and fell 18% in Virginia, to 269,474.

The 2020 signup numbers for the states with the most public exchange users in 2019 suggest that, in those states, success is breeding success.

The five states that had more than 400,000 ACA exchange signups for 2019 all produced more signups for 2020.

Here are how those five states did:

• Florida (HealthCare.gov): 1.9 million (up 7.3%)
• California (state-based): 1.5 million (up 1.6%)
• Texas (HealthCare.gov): 1.1 million (up 2.7%)
• North Carolina (HealthCare.gov): 505,275 (up 0.8%)
• Georgia (HealthCare.gov): 463,910 (up 1.2%)

— Read HealthCare.gov Signs More Individual Health Producers, on ThinkAdvisor.

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