Enrollment Challenges for the ACA

The future of the Affordable Care Act (ACA) could depend on the success of federal and state administrators in signing people up in the current open enrollment period—the last one before the 2016 election.  If re-enrollment is high, significant numbers of new households sign up, and most people have a positive experience with the process, the new president and Congress taking power in January 2017 will find it politically difficult to make major changes in the ACA’s basic structure. But if a significant number of enrollees drop out, few new enrollments materialize, or potential enrollees view the enrollment process as frustrating and confusing, the ACA could be far more vulnerable to changes, no matter who wins the election.

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