Policy Examples

  • In 2019, 39 states offered federally administered exchanges while the remaining were state administered. On average, there were four issuers on the individual public exchange per state. source
  • According to the Kaiser Family Foundation, there were 13.7 million people enrolled in the individual market as of the first quarter of 2019, 10.6 million of whom purchased coverage from the exchange. source

Outcome Evidence

  • The Government Accountability Office (GAO) reported survey data findings that most enrollees who obtained their coverage through the health insurance exchanges were satisfied overall with their qualified health plans (QHP) during the first few years that exchanges operated. source
  • A 2016 Rand Corporation literature review cited a study that found that consumers in a multichoice environment, such as a health insurance market, can make suboptimal choices or may make no choice at all. source
  • In 2017, 55% of adults remained enrolled in their marketplace plan from the prior year, citing plan satisfaction (38%), didn’t want to change doctors (10%), it was easier to stay in plan (32%), or another reason (19%). source

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