Researchers found that insurer participation in the marketplaces began to rebound in 2019, following decreases in participation in many areas in 2018. Some insurers expanded their geographic footprint in states in which they already participated, and others expanded to new states. Insurers were generally satisfied with the outcomes of their 2018 decisions.
Following many dramatic marketplace premium increases in 2018, premium growth in 2019 tended to be modest, and even negative in some areas. The 2018 increases were largely attributable to insurers incorporating the costs associated with cost-sharing reductions into their premiums and to the tremendous uncertainty created by other regulatory changes and the political debate surrounding reform. Insurers appear to be readjusting premium growth in 2019 to account for 2018 overestimates.
About the Urban Institute
The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. For more information, visit www.urban.org. More information specific to the Urban Institute’s Health Policy Center, its staff, and its recent research can be found at www.healthpolicycenter.org.