More Choices for Patients 10 Years After Affordable Care Act

Size and scope of changes to the healthcare marketplace since Obamacare may surprise you

  • Participation continues to grow in almost all insurer categories, but rate of growth slowed in 2023.
  • Plans' premium prices increased a median of 4% in 2023, compared to four consecutive years of almost no changes.
  • Consumer choices have increased substantially: In 2018, 52% of counties had only one insurer; in 2023, that fraction dropped to 4%.


McKinsey. The Individual Health Insurance Market in 2023. Accessed June 9, 2023.