Interactive tracker helps tell the story of insurer participation in the ACA market.
The seventh open enrollment season is almost upon us, and all signs point to growing stability, as measured by moderate premium increases and increased participation by health plans. The tracker shows the change over time in participation at the county level, and allows users to follow individual companies or categories of health insurers. The data reveal a business narrative that has been closely intertwined with the political story of the Affordable Care Act (ACA) marketplace.
A year ago, rate filings caused widespread anxiety, as multiple carriers announced withdrawals from the ACA market, and state officials struggled to fill bare counties. Many of those remaining filed enormous rate increases. In 2018, marketplace enrollment was stable, while unsubsidized enrollment continued its multi-year decline. So far, this year’s rate filing season has been sprinkled with news of entry and expansion, and proposed rate hikes that are generally more moderate. With no announced market exits thus far, it seems likely that in 2019 there will be net entry into the ACA marketplace.