HIX: Plan Participation ‘Robust’

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The vast majority of states have four or more issuers offering health insurance plans to individuals in the new federally-facilitated health insurance marketplaces, according to an analysis from Avalere Health, an advisory services company, that was based on data from the Department of Health and Human Services (HHS).

"The federally-facilitated marketplace landscape reveals meaningful competition among issuers and a variety of plan options for consumers to choose among," said Dan Mendelson, CEO of Avalere Health. "Consumers in many states will find options from Blues plans and national carriers competing alongside local, regional, and provider-sponsored insurers."

Avalere also examined health plan premiums in the top 13 federally-facilitated marketplace states, as measured by anticipated exchange enrollment, including Arizona, Florida, Georgia, Illinois, Indiana, Michigan, North Carolina, New Jersey, Ohio, Pennsylvania, Texas, Virginia and Wisconsin.

Avalere found the second-lowest cost Silver plan is:

•             A Blues plan in eight of the 13 states
•             A national plan, Humana or Coventry, in two of the 13 states

•             A local or regional plan in two of the 13 states
•             A Medicaid/Medicare Advantage plan in one of the 13 states

To examine premiums, Avalere selected the top 13 states by expected enrollment, as per the HHS file and considered Silver plans, not including child-only plans, offered in a single zip code in the largest city in each state.  

Avalere analyzed the QHP individual medical landscape dataset released by HHS, available here.

For states not included in this dataset, the map of carrier participation reflects Avalere’s own research and tracking.

 

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