The Affordable Care Act (ACA) continues to set new enrollment records, with 21.3 million people enrolling in health insurance in 2024. This includes 5.1 million enrolling through State Based Marketplaces (SBMs), an increase of 22% from last year. States are considering establishing their own SBMs for greater autonomy and control. Transitioning to an SBM requires implementing customer service and technology solutions, focusing on user experience, efficient coordination between programs, eligibility modernization, and investing in marketing strategies. With the right investments and efforts, states can successfully transition to SBMs, shaping a consumer-centric marketplace for quality, affordable health insurance coverage.
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Five Keys for the Successful Implementation of a State-Based Marketplace
