Insights from 2024 Wakely ACA Data on Pricing, Risk Mix, and Enrollment Behavior
For ACA marketplace health plan leaders, the off-exchange individual market is becoming too important to overlook. This white paper analyzes 2024 data to show how off-exchange performance differs from on-exchange business across profitability, pricing, risk mix, product selection, and enrollment behavior. It highlights why off-exchange products often underperform, where standard silver and non-silver dynamics diverge, and what health plans can do to strengthen pricing and product strategy as this segment grows in importance.
