AHP Senior Consulting Actuary, Greg Fann, FSA, FCA, MAAA, was quoted in a recent article, highlighting net premium levels as a greater predictor of market enrollment than government advertising, outreach, and navigator funding. Greg points to 2018 as a prime example. The number of people enrolled in the ACA individual market increased 3% due to additional premium subsidies driven by President Trump’s CSR action (https://axenehp.com/cost-sharing-reduction-paradox-defunding-help-aca-markets-not-make-implode), despite drastically lower government funding to promote 2018 open enrollment.

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