Issuers Hold Steady in State-based Exchange States

On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that issuer participation is anticipated to remain steady in the SBE states. NASHP will track and updates submission as they become finalized early in the fall.

“SBE officials remain hard at work in partnership with their state insurance departments and issuers to maintain consumer choice for exchange enrollees, said NASHP Executive Director, Trish Riley. “These states are working to preserve affordable options amid uncertainty over national policies of consequence to insurance markets including funding for cost-sharing reduction (CSR) payments and further regulatory and legislative reforms made to the Affordable Care Act.”

Total number of issuers offering individual market coverage through the State-based exchanges[1]
2016 2017 2018
Proposed Final Proposed Final Proposed
California 12 12 11 11 N/A[2]
Colorado 10 8 7 7 7
Connecticut 4 4 3 2 2
District of Columbia 2 2 2 2 2
Idaho 5 5 5 5 4
Maryland 5 5 3 3 5
Massachusetts 9 10 9 9 N/A2
Minnesota 4 4 4 4 N/A2
New York 15 15 14 14 13
Rhode Island 3 3 2 2 2
Vermont 2 2 2 2 2
Washington 8 8 6 6 6

 

[1] States that operate as SBEs using the federal platform, Kentucky, Nevada, New Mexico and Oregon, were not included in NASHP’s analysis as they were included in the CMS tally released on July 10, 2017.

[2] Preliminary rate filings are not due for California and Minnesota until July 17, 2017. Information for Massachusetts has not yet been publicly posted.