Work

Brokering a new path: navigating administrative burdens in the health insurance Marketplaces

Year: 2026

Type: article

Abstract: Millions will become uninsured when Affordable Care Act enhanced subsidies expire and new, stricter enrollment regulations take effect in 2026. Reductions in federal enrollment assistance that have helped coverage seekers navigate administrative burdens mean that health insurance brokers will be critical in mitigating Marketplace coverage losses. Brokers can be a strong force for maintaining Marketplace enrollment, particularly when the markets they operate in are structured to minimize bad behavior and to maximize outreach. This commentary argues that a robust broker infrastructure is necessary to help Marketplace enrollees retain coverage. We outline how brokers can help people navigate new administrative burdens to Marketplace enrollment and review 2 innovative models for maximizing outreach among people more likely to be uninsured.

Source: Health Affairs Scholar

DOI: 10.1093/haschl/qxag017

Authors: Jessica M Mulligan, David M Anderson, Coleman Drake

Institutions: University of Virginia, University of South Carolina, University of Pittsburgh

Language: English

Topic: Healthcare Policy and Management

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Reduced inequalities

Open Access status: gold

Estimated APC paid: $3,150