Abstract
With the recent close of the 2019 Open Enrollment Period, the federal health exchange marks the end of six tumultuous years – years characterized by recurrent system-wide crashes, highly politicized rhetoric, significant cutbacks in funding, and, most recently, a shorter 45-day enrollment window (Mangan, 2017). The Affordable Care Act (ACA) itself is facing judicial challenges that may threaten to topple the legislation (Goodnough & Pear, 2018). Despite these changes, the Centers for Medicare and Medicaid services (CMS) reports that over 8.4 million consumers have selected plans using the Healthcare.gov platform in the 2019 Open Enrollment period (November 1 – December 15, 2018), of which over 75%, or 6.4 million consumers, were existing consumers renewing their coverage (CMS Newsroom, 2018).
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