ACA Exchange Participation Declines

Among the consequences of the Affordable Care Act (ACA or Obamacare) are its effects on insurer competition, particularly in the law’s new government-run exchanges. By several different measures, insurer participation in the ACA exchanges declined in 2016.

One measure for the level of competition is the number of insurers offering exchange coverage in the 50 states and the District of Columbia. For this metric, insurers that offer exchange coverage through more than one subsidiary in a state are properly counted as only one carrier (the parent company), while insurers that offer coverage in more than one state are counted for each state (as exchange participation is a state-level decision).

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