More Than 2M Eligible ACA Customers Not Receiving Subsidies, Analysis Finds

The Washington Examiner (8/20) reports that of the 8.1 million individuals who enrolled in 2015 coverage through the ACA exchanges “and were eligible for subsidies, only 5.9 million are actually getting a subsidy, according to the health research firm Avalere Health.” Avalere CEO Dan Mendelson said that many consumers are selecting plans based on premiums rather than out-of-pocket costs and, as a result, “some patients may be paying more than they need to for care.” For example, “some consumers are likely enrolling in the low-premium bronze plan, but need to be in the slightly more expensive silver plan to qualify for subsidies, Avalere said.”