What are the ACA Enrollment Figures for 2016?

  • This page as PDF


Recently, Avalere worked with the Council for Affordable Health Coverage to examine enrollment trends for the Affordable Care Act (ACA).
Please note: This is an archived post. Some of the information and data discussed in this article may be out of date. It is preserved here for historical reference but should not be used as the basis for business decisions. Please see our main Insights section for more recent posts.

Avalere projects that 10.1 million individuals will be enrolled in an exchange plan by the end of 2016. To date, exchange enrollment has not reached original projection numbers. In March 2010, the Congressional Budget Office predicted enrollment figures for 2016 to be at 21 million. Their projections have decreased since then- in January 2016 it was 13 million and in March 2016, it was 12 million. The Obama administration projects 10 million in enrollment for 2016.

What’s causing the lower than expected numbers?

  • Individuals retaining original sources of coverage (e.g., employer-sponsored coverage and off-exchange individual market coverage)
  • Low participation from middle-income, healthy people
  • Technology glitches
  • Lack of educational resources for financial assistance
  • Language barriers

Enrollment trends by population type

  • The exchange-enrolled population is disproportionately older and low-income as compared to the potential exchange population
  • Males and Hispanics have also enrolled at lower rates than expected

Exchange participation rates decline significantly as incomes increase and subsidies decrease. Specifically, exchanges have enrolled more than 80 percent of the potential exchange population with incomes below 150 percent of the federal poverty level (FPL), but only 2 percent of individuals with incomes above 400 percent of the FPL.

For full details on ACA enrollment figures, access the report.

Webinar | A Closer Look at Patient Support Avalere experts explored how potential implications of the Inflation Reduction Act (IRA)’s out-of-pocket cap, in addition to other key regulatory and policy activities shaping benefit design and patient cost-share (e.g., EHB), could impact patient commercial and foundation assistance. Learn More
Watch Now
From beginning to end, our team synergy
produces measurable results. Let's work together.
Back To Top