Subsidzied ACA enrollment chart The number of unsubsidized enrollees on the Affordable Care Act health care exchanges dropped by 1.2 million last year, according to a report from the Centers for Medicare and Medicaid.

While the drop in the number of enrollees footing the whole bill for their coverage is no surprise, given the pricey premiums involved, it’s not good news, and it doesn’t fit with the CMS claim. From 2016 to 2018, the report says, unsubsidized enrollment on the exchanges fell 40 percent, with declining numbers in nearly all states. Meanwhile, from 2016 to 2018, 2.5 million people altogether—who were paying the whole premium bill for ACA coverage themselves—have dropped out of the individual market.

Recommended For You

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.