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Rural Health Information Hub

Affordable Care Act Enrollment in Texas after Rating Area Adjustments

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Description
Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s)
Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation
The American Journal of Managed Care, 31(6), e147-e152
Date
06/2025
Tagged as
Access · Benefit enrollment and application · Health insurance · Policy · Rural-urban differences · Texas