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Healthcare reform in the United States
History
Debate
Legislation
Preceding
Social Security Amendments of 1965
EMTALA (1986)
HIPAA (1996)
Medicare Modernization Act (2003)
PSQIA (2005)
Superseded
Affordable Health Care for America (H.R. 3962)
America's Affordable Health Choices (H.R. 3200)
Baucus Health Bill (S. 1796)
Proposed
American Health Care Act (2017)
Medicare for All Act (2021, H.R. 1976)
Healthy Americans Act (2007, 2009)
Health Security Act (H.R. 3600)
Latest enacted
Affordable Care Act (H.R. 3590)
Health Care and Education Reconciliation Act (H.R. 4872)
Reforms
Obama administration proposals
Public opinion
Reform advocacy groups
Rationing
Insurance coverage
Systems
Free market
Health insurance exchange
Nationalized insurance
Publicly-funded
Single-payer
Canadian vs. American
Two-tier
Universal
Third-party payment models
All-payer rate setting
Capitation
Fee-for-service
Global payment
United States portal Health care portal
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In the United States, health insurance marketplaces,[1] also called health exchanges, are organizations in each state through which people can purchase health insurance. People can purchase health insurance that complies with the Patient Protection and Affordable Care Act (ACA, known colloquially as "Obamacare") at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange.
ACA health exchanges were fully certified and operational by January 1, 2014, under federal law.[2] Enrollment in the marketplaces started on October 1, 2013, and continued for six months. As of April 19, 2014,[update] 8.02 million people had signed up through the health insurance marketplaces. An additional 4.8 million joined Medicaid.[3] Enrollment for 2015 began on November 15, 2014 and ended on December 15, 2014.[4] As of April 14, 2020, 11.41 million people had signed up through the health insurance marketplaces.[5]
Private non-ACA health care exchanges also exist in many states, responsible for enrolling 3 million people.[6] These exchanges predate the Affordable Care Act and facilitate insurance plans for employees of small and medium size businesses.
^"What is the Health Insurance Marketplace?". Healthcare.gov. U.S. Centers for Medicare & Medicaid Services.
^Lewis, Nicole (July 12, 2011). "HHS Proposes Health Insurance Exchange Rules". InformationWeek: Healthcare. UBM TechWeb. Archived from the original on July 14, 2011.
^Mangan, Dan (May 1, 2014). "Latest score: Obamacare enrolls 8.02 million by April 19". CNBC.
^Alonso-Zaldivar, Ricardo (November 9, 2014). "Higher bar for health law in 2nd sign-up season". CBS Money Watch. CBS Interactive. Archived from the original on November 10, 2014.
^"Marketplace Enrollment, 2014-2020". The Henry J. Kaiser Family Foundation. 2020-04-07. Retrieved 2020-04-14.
^Carrns, Ann (June 14, 2014). "Private Health Care Exchanges enroll more than Predicted". New York Times (New York ed.). p. B6. Retrieved 16 July 2014.
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