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Bloomberg has a good look today at the state of play in the marketplaces for 2018. Worth clicking through, as the maps are interactive.
How Obamacare’s Marketplaces Are Shaping Up for 2018
The vast majority buyers have multiple insurers to choose from; the remaining question is what, if anything, to do about the primarily rural areas home to the remaining 20% that have only a single seller (and the 25K people who'd have no seller in the worst-case scenario).
Despite confirmation from the Trump's HHS two weeks ago that no death spiral is occurring and multiple analyses recently showing that insurer finances in the marketplaces have stabilized (i.e., swung into the black), the administration's threats to deliberately wreck the market remain dark clouds over 2018:
How Obamacare’s Marketplaces Are Shaping Up for 2018
Based on the latest data, most of the 12 million people who got health insurance through Obamacare’s individual marketplaces will have the same number of companies to choose among next year as they did in 2017. These maps will change as insurers finalize their plans before signing contracts in the fall.
Most marketplace enrollees had multiple insurance companies to choose among this year, and most will again in 2018. In 2017, 83 percent of enrollees received help paying their premiums.
In four Indiana counties, parts of Ohio and rural Nevada, no insurer has yet filed or publicly announced plans to sell marketplace plans. About 25,000 people enrolled in marketplace plans in these so-called “bare” counties in 2017. Insurance departments in each state are working to convince companies to re-enter those areas.
The vast majority buyers have multiple insurers to choose from; the remaining question is what, if anything, to do about the primarily rural areas home to the remaining 20% that have only a single seller (and the 25K people who'd have no seller in the worst-case scenario).
Despite confirmation from the Trump's HHS two weeks ago that no death spiral is occurring and multiple analyses recently showing that insurer finances in the marketplaces have stabilized (i.e., swung into the black), the administration's threats to deliberately wreck the market remain dark clouds over 2018:
Ongoing efforts to repeal Obamacare are adding even more uncertainty for 2018. In their filings, many companies have also noted that the Trump administration’s non-enforcement of the individual insurance mandate and uncertainty over the continuation of cost-sharing subsidies have caused substantial rate increases for next year. Several companies also wrote in their filings that if cost-sharing subsidies are not funded they will withdraw from the marketplace entirely.