ACA Open Enrollment 2025: ‘Calm Before the Storm’ of Subsidy Cliff
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Nov 01, 2024
As the 12th open enrollment period (OEP) for the Affordable Care Act exchanges kicked off Nov. 1, some noteworthy market trends include health insurers expanding into “farm belt” states, lower median deductibles, and a smaller number of plans available due to new regulatory limits on how many plans carriers can offer. And although industry experts say the 2025 plan year is slated to be largely uneventful for the exchanges, they caution that the stability is likely to be short-lived.
“This is the calm before the storm,” says Fritz Busch, a principal and consulting actuary at Milliman, referring to the fact that enhanced premium subsidies that have been in place since 2021 are set to expire after 2025. If Congress moves quickly early next year to extend the enhanced subsidies, “maybe there’s not a storm,” he tells AIS Health, a division of MMIT. Still, Busch says his clients have been talking for months about how to plan for various scenarios.
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