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Market Intel Report | December 19, 2025

Trends In Affordable Care Act Health Insurance Marketplace Enrollment: An OPEN MINDS Market Intelligence Report

The Affordable Care Act (ACA) Health Insurance Marketplace enrollment will be influenced by a combination of policy adjustments and consumer decision making trends that may redefine the individual marketplace in the upcoming years. In our new report, we examined trends in the ACA Health Insurance Marketplace, including:

Changes in overall enrollment from 2022 to 2025

States with highest & lowest market shares

State choice of management type in their exchanges: federal-based, state-based, and hybrid model

Information on state-by-state individual health plans and small group plans . . .

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