State-Based Marketplaces Outperform Federally-Facilitated Marketplaces

Jane Zhu, Daniel Polsky, Yuehan Zhang

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

In response to regulatory changes at the federal level, states that run their own marketplaces have taken steps to stabilize their individual markets. In this comparison of state-based and federally-facilitated marketplaces from 2016-2018, we find that SBMs had slower premium increases (43% vs. 75%), and fewer carrier exits, than FFMs. The total population participating in FFMs declined by 10%, while the enrolled population in SBMs remained largely stable, increasing by 2%. We find that the performance of the ACA marketplaces varies by state and appears to cluster around marketplace types.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalLDI issue brief
Volume22
Issue number1
StatePublished - Mar 1 2018
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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