Updated Analysis Compares Consumer Out-of-Pocket Spending of ACA Marketplace Enrollees to other Major Payers Using Claims Data
December 5, 2025
HMA and Wakely, an HMA Company, have released an updated Issue Brief to the comprehensive profile of ACA Marketplace enrollees that was based on claims data from nearly 6 million of the 24 million Marketplace enrollees.
The issue brief discusses these key questions:
- Do Marketplace enrollees spend more or less out-of-pocket relative to Medicare, ESI and Medicaid enrollees?
- How may the potential expiration of eAPTCs impact out-of-pocket costs?
- What are some initial considerations regarding overall healthcare affordability?
Please fill out this form to receive a copy of the update and issue brief.
Contact any of the report authors with further questions, or to discuss potential applications of this work for your organization.
