Marketplaces with greater populations and more insurer competition generally continue to succeed, but a large and increasing number of marketplaces are falling short. The decrease in highly competitive markets is concerning because marketplace premiums tend to be substantially higher in rating regions with one insurer than in more competitive marketplaces. In 2019, the median benchmark (second lowest price silver plan) premium for a 40-year-old non-smoker in regions with one insurer cost $592 per month compared to $376 per month in regions with five or more insurers, a difference of more than 36 percent.
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.urban.org/policy-centers/health-policy-center.