Comparison of Affordable Care Act (ACA) to Medicare Part D Enrollment

January 27, 2014

In a new report, the Energy and Commerce Committee compared the pace of enrollment in the new ACA federal and state health insurance exchanges with the pace of enrollment in Medicare Part D.

The report finds that Americans are signing up for health insurance under the ACA individual health insurance exchanges at a considerably faster rate than seniors signed up for Medicare Part D.


About the Medicare Part D Enrollment Numbers

According to the report, the Congressional Budget Office (CBO) estimated that 23 million seniors would sign up for prescription drug coverage under Medicare Part D during the first enrollment period. By December 31, 2005, only 5.4 million seniors chose to enroll in Part D, just 23% of the estimate. By June 2006, when the open enrollment period ended, Part D enrollment was just 70% of the enrollment estimated by CBO. 

How ACA Enrollment Compares

According to the report, enrollment in the Affordable Care Act's individual health insurance exchanges is running ahead of enrollment in Medicare Part D. As of December 28, 2013, 2.2 million Americans have enrolled in coverage through the new federal and state exchanges. This is 31% of CBO’s estimate of 7 million enrollees during the first year of coverage. 

Click here to read the full report by the Energy and Commerce Committee Democratic Members.

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What do you think? Is this a helpful comparison? Or is it a justification for the slower-than expected rollout of the ACA? Leave your thoughts below.

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