2015 Health Insurance Enrollment: Net Increase of 4.8 Million, Trends Slowing

Implementation of the ACA appears to have had three effects on insurance coverage: a substantial increase in individual-market enrollment, an offsetting decline in fully insured employer-group plan enrollment, and a significant increase in Medicaid enrollment in states that adopted the ACA Medicaid expansion. In all three cases, those effects were greatest in 2014 and continued, though at much reduced rates, in 2015.

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