AM Best Information Services

JUNE 18, 2021 02:36 PM (EDT)

Best’s Commentary: Supreme Court Decision Upholding ACA Favorable for US Health Insurers

 Doniella Pliss
+1 908 439 2200, ext. 5104

Joseph Zazzera, MBA
+1 908 439 2200, ext. 5797

Sally Rosen
Senior Director
+1 908 439 2200, ext. 5280
Christopher Sharkey
Manager, Public Relations
+1 908 439 2200, ext. 5159

Jim Peavy
Director, Communications
+1 908 439 2200, ext. 5644


OLDWICK - JUNE 18, 2021 02:36 PM (EDT)
AM Best is of the view that the recent Supreme Court ruling upholding the Affordable Care Act (ACA) is favorable for U.S. health insurance companies and membership that participates in the ACA marketplaces and Medicaid managed care, as it maintains stability of the current operating environment and ACA-related funding.

The Best’s Commentary, “US Supreme Court Decision Upholding the ACA Is Favorable for US Health Insurers,” notes that profitability of the ACA exchange business has become stable over the past few years, with more insurers participating in the market and offering coverage. Additionally, Medicaid managed care is a significant and growing part of health insurers’ premiums: Medicaid managed care premiums grew to more than 25% in 2020 from less than 20% of total premiums in 2013. Medicaid managed care also has seen enrollment growth since 2014, with the expansion of Medicaid as part of the ACA and states’ expansion of programs offered under Medicaid managed care.

Going forward, AM Best believes that there could be pressure from the Biden administration on ACA-exempt products, such as short-term limited duration medical insurance, which may impact insurers’ ability to offer these products in the medium term. Given that this was the third time that the U.S. Supreme Court has heard and upheld the ACA, AM Best also believes that the risk of future litigation to the Supreme Court level is low.

To access the full copy of this commentary, please visit .

AM Best is a global credit rating agency, news publisher and data analytics provider specializing in the insurance industry. Headquartered in the United States, the company does business in over 100 countries with regional offices in London, Amsterdam, Dubai, Hong Kong, Singapore and Mexico City.