Coinciding with the beginning of the 2022 ACA open enrollment period, HGA’s-managed coalitions, the Council for Affordable Health Coverage (CAHC) and Health Benefits Institute (HBI) released their 4th annual report grading the performance of online options for enrollment that consumers can access. The report assesses the federally-facilitated exchange (healthcare.gov) and 15 state-based exchanges including the District of Columbia’s. They are graded on eleven factors, including integrated drug and provider directories, an out-of-pocket cost calculator, and language accessibility.