We analyze how price competition in the ACA’s nongroup insurance marketplaces varies by insurer type: national, regional, Blue Cross Blue Shield, previously Medicaid-only, provider-sponsored, and co-ops. National insurers are expanding their presence, but are not yet pricing aggressively. Regional insurers have increased participation but seem to be losing price competitive ground. Blue Cross Blue Shield insurers have widespread participation but pursue very different pricing strategies. Previously Medicaid-Only insurers are a growing presence that is getting increasingly price competitive. Provider-sponsored insurers have a limited presence and an inconsistent competitive footing. Finally, co-ops are expanding and improving their competitive pricing position.
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