In this paper, we provide our observations on the impact of COVID-19 on ACA markets by summarizing data collected through December of each benefit year in the 2019 and 2020 Wakely National Risk Adjustment Reporting (WNRAR) project. The WNRAR project collects summary level risk adjustment data from over 70 health insurance issuers across over 30 states and provides participants with detailed reports several times throughout the calendar year.

Key items include:

  • Changes in ACA enrollment
  • Changes in claim metrics
  • Changes in risk scores
  • Comorbidity of COVID-19 members
  • Regional differences
  • Metal plan differences

This is an update to our prior papers, which you can read here:

Impact of COVID-19 on ACA Markets - March 2021 Update