Updated Analysis Shows More Competitive ACA Marketplaces in 2019

A 2017 analysis done by the Urban Institute and the Robert Wood Johnson Foundation found “strong inverse associations between the number of marketplace health insurers and premium levels and premium growth; rating regions with few insurers had higher premiums and higher premium growth.” The analysis has since been updated with 2018 and 2019 data, which concluded that more than 20 percent of the U.S. population now lives in an area with five or more marketplace insurers, though there are many regional variations.

For example, more than 40 percent of the population in the Northeast lives in areas with five or more marketplace insurers, while in the South, only 4 percent of residents live in areas with five or more insurers though a majority (nearly 53 percent) live in areas with between one and two insurers. In addition, the analysis found that marketplace premiums in the rating regions with fewer insurers tend to be substantially higher.

Click here to read the full analysis.

Click here to view a summary from the Robert Wood Johnson Foundation.

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