The third key takeaway was Historic Enrollment Growth According to the Brief "Health Coverage Under the ACA: Current Enrollment Trends and State Estimates." The Affordable Care Act (ACA) has experienced significant enrollment growth. In comparison to 2021, there are now 14.1 million more individuals enrolled (a 46% increase) and compared to 2014, there are 32.5 million more enrollees (a 258% increase). Notably, Marketplace enrollment has surged to a record high of over 20 million for the 2024 plan year. As of 2023 and early 2024, more than 45 million people are currently enrolled in either Marketplace or Medicaid expansion coverage under ACA provisions, marking the highest total enrollment ever recorded. As billers and coders during this time, you may be dealing with a large amount of training. As well as an increase in workload due to all the new billing and coding rules.