New Report Offers Profile of ACA Marketplace Enrollees Using Claims Data
October 10, 2025
HMA and Wakely, an HMA Company, have released a new Issue Brief that provides a comprehensive profile of ACA Marketplace enrollees primarily based on claims data from nearly 6 million of the 24 million Marketplace enrollees.
The issue brief answers these key questions:
- How many people receive coverage through the Marketplace and where does CBO project enrollments to be in 2026 and beyond?聽 What are Marketplace enrollee demographics 鈥� i.e. age, gender, geographic location?
- What type of health conditions do Marketplace enrollees have and what types of services do they use?
- What types of prescription drugs do Marketplace enrollees use?
- What does the share of costs shouldered by the enrollee look like for Marketplace enrollees if the Advanced Premium Tax Credits expire?
Please fill out this form to receive a copy of the issue brief.
Contact any of the report authors with further questions, or to discuss potential applications of this work for your organization.
