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You are here: Home / Anderson On Health Insurance / State based markets did fine

State based markets did fine

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State based marketplaces (SBMs) are the state run exchanges. The outreach is controlled by the state, the plan arrangement is controlled by the state, and the marketing is controlled by the state. There are negative side effects of a general anti-ACA enrollment messaging environment but the SBMs are mostly being run by states with a local elite political consensus towards making the ACA work as well as possible for that state. SBMs held serve or improved total enrollment.

This is in contrast to the Federally Facilitated Marketplaces (FFMs) or the states that used Healthcare.gov. Enrollment on HC.Gov was down this year and it was down last year. In 2017, HC.Gov states were on pace to meet or slightly beat 2016 enrollment until the administrations changed and the messaging changed (I have just submitted a paper on this). Since then the messaging and outreach has been consistently anti-enrollmemt. Good econometricians can try to disentangle enrollment from pricing changes as many states Silver loaded but the comparison of SBMs vs FFMs will point us in the right direction on the impact of the messaging changes.

Reader Interactions

4Comments

  2. 2.

    japa21

    Mixed feelings. Glad to see that the state based are doing well as opposed to Federal. But this feeds into the RW thing of it being better to have all things done at the state level and keeping the feds out of everything. This is only working because those states are committed to doing this well. We know the red states really aren’t committed to that. This specially applies to the whole block grant issue with Medicaid.

  4. 4.

    Neldob

    Would the red states citizens miss their healthcare enough to do something about it? Would they note it is the Republican admin taking it away?

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