Health Affairs August 9, 2017
With the GOP repeal drive on hold, members of Congress from both parties have declared that they want to shore up the health exchanges. One of the top priorities is increasing competition among insurers. Boosting the number of plans within the exchanges not only would increase options for consumers; it would also reduce the risk an exchange could end up with no plans at all. Perhaps most important, it would likely lead to lower premiums as plans competed to attract enrollees.
Yet in many counties, there’s little chance additional private plans will enter the exchanges. In what is a highly consolidated industry, some of the dominant insurers have scaled back their involvement or left the market entirely. According to the...
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