The 2018 ACA open enrollment numbers are in, and the relatively small decline in signups seems to be surprising a lot of health policy experts. The National Academy of State Health Policy (NASHP) tallied the numbers from and the state-based marketplaces and found that about 11.8 million people selected a plan, a 3.7 percent decline from last year.

The Trump Administration cut outreach and enrollment assistance for 2018, and signups declined in states that let the federal government conduct open enrollment. States that took care of their own open enrollment saw a slight uptick overall.

You can read the NASHP data at