State-Based Marketplaces Outperform Federally-Facilitated Marketplaces

Jane M. Zhu, Daniel E. Polsky, Yuehan Zhang

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Abstract

In response to regulatory changes at the federal level, states that run their own marketplaces have taken steps to stabilize their individual markets. In this comparison of state-based and federally-facilitated marketplaces from 2016-2018, we find that SBMs had slower premium increases (43% vs. 75%), and fewer carrier exits, than FFMs. The total population participating in FFMs declined by 10%, while the enrolled population in SBMs remained largely stable, increasing by 2%. We find that the performance of the ACA marketplaces varies by state and appears to cluster around marketplace types.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalLDI issue brief
Volume22
Issue number1
StatePublished - Mar 1 2018
Externally publishedYes

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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces. / Zhu, Jane M.; Polsky, Daniel E.; Zhang, Yuehan.

In: LDI issue brief, Vol. 22, No. 1, 01.03.2018, p. 1-7.

Research output: Contribution to journalArticle

Zhu, Jane M. ; Polsky, Daniel E. ; Zhang, Yuehan. / State-Based Marketplaces Outperform Federally-Facilitated Marketplaces. In: LDI issue brief. 2018 ; Vol. 22, No. 1. pp. 1-7.
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