KFF August 26, 2024

A Quarter of Practicing Physicians Did Not Participate in Any Marketplace Plans in 2021

A KFF analysis of physician networks in the Affordable Care Act’s Marketplace plans finds wide variations in the share of local practicing physicians who participate, with the least costly plans generally having a smaller share of physicians than more expensive plans.

The analysis examines the breadth of physician networks listed in Marketplace plan directories in 2021 in nearly every county nationally in relation to the number of actively practicing physicians locally.

On average, Marketplace enrollees had access to 40% of practicing physicians in their area in 2021, with wide variations across plans. For instance, 23% of enrollees were in plans with no more than a...

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Topics: ACA (Affordable Care Act), Insurance, Physician, Provider, Survey / Study, Trends
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