Health insurance marketplaces

Wealthier people are ditching the ACA exchanges

Data: Centers for Medicare & Medicaid Services; Chart: Axios Visuals

The universe of people covered by the Affordable Care Act keeps narrowing.

Between the lines: People who make too much money to qualify for help paying their premiums are fleeing the ACA’s insurance exchanges. But the exchanges are still pretty stable for people who receive premium subsidies, according to new federal data.

What Democrats are doing on health care

Illustration of democratic donkey wearing stethoscope and medical mask
Illustration: Rebecca Zisser/Axios

As Democratic presidential candidates debate their ideal health care system, blue states are making incremental — yet significant — changes to the existing one.

Why it matters: In the states where they have power, Democrats are creating a blueprint for how the ACA could evolve under Democratic control in Washington.