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. 2025 Oct 13;13:1643109. doi: 10.3389/fpubh.2025.1643109

Table 4.

Plan market distribution.

Year Total On-marketplace Off-marketplace
2015 20,186 10,959 9,227
2016 14,684 11,097 3,587
2017 12,375 9,490 2,885
2018 7,713 6,401 1,312
2019 8,926 7,547 1,379
2020 10,923 9,435 1,488
2021 13,234 11,460 1,774
2022 18,139 15,650 2,489
2023 18,744 16,668 2,076
2024 16,782 14,916 1,866

Author’s analysis of 2014–2024 HIX Compare. HIX Compare does not report off-marketplace plans in 2014 so our results were for 2015–2024.