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ACA Marketplaces Gain Payers in 2021, Rural Areas Still Struggle
Health Payer Intelligence November 24, 2020
Although the Affordable Care Act marketplaces are increasing payer participants overall, rural counties still face challenges in drawing more payer competition.
Over three-quarters of Affordable Care Act marketplace enrollees will have three or more payer options in 2021, a Kaiser Family Foundation (KFF) report found.
That represents an 11 percent increase over 2020 and a 20 percent increase over 2019.
In the new year, 30 payers will enter the individual health insurance market in 20 states. Meanwhile, another 61 payers are expanding their footprints. Due to this activity, on average there will be five payers per state in 2021, which is close to the marketplace high of six payers per state in 2015.
Meanwhile, fewer counties will see one-payer markets...
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