Early assessment of competition in the health insurance marketplace | Brookings Institution

This report, requested by the Office of the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services (ASPE), analyzes competition in the Health Insurance Marketplaces created by the Affordable Care Act (ACA) in six states (Alaska, Florida, Kansas, North Carolina, Ohio, and Texas). The purpose of the study was to focus on a few states that had one or more potential indicators of “insufficient competition”—such as few insurers offering plans, low enrollment, high premiums, inadequately informed consumers, or sparsely populated rural areas—and try to understand how competition was working in these markets and what might be done to make it work better.The report describes the findings for each selected state, discusses common themes across the states, and provides some potential remedies to improve competition. Following is a brief summary of why these states were chosen and what the field researchers found:

Source: Early assessment of competition in the health insurance marketplace | Brookings Institution

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