Contribute
CONNECT:

research

Obamacare's Lack Of Choice

- March 14, 2017

Obamacare Has Left Americans Nationwide With Decreased Choices


TOP TAKEAWAYS

  • Obamacare has left many consumers in states across the country with little or no choices in healthcare coverage-a trend that has accelerated in 2017.
  • Five states have only one insurer offering plans on their Obamacare exchange.
  • One-third of all counties are served by only one insurer on their Obamacare exchange.
  • In 2018, some states may have no insurers on their Obamacare exchange.

OBAMACARE HAS left CONSUMERS IN MANY STATES With LITTLE TO NO CHOICE

Compared To 2016, Fewer Insurers Are On Obamacare's Exchanges

For Plan Year 2017, The Number Of Insurers On Obamacare Exchanges In All States Is Down To 228 From 298 In 2016, A 23% Drop From The Previous Year. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

Several Major Health Insurers Opted To Abandon The Obamacare Exchanges "In All But A Handful Of States" For 2017. "The announcements come at a time of uncertainty for health insurance markets nationwide, with several major health insurers opting to abandon the exchanges in all but a handful of states." (Edgar Walters, "Health Insurers' Exit Spells Trouble For Obamacare In Texas," The Texas Tribune , 8/24/16)

In Many Parts Of The Country, Americans Signing Up For Obamacare Will Have Only One Insurer As Their Only Option In The Marketplace. "In many parts of the country, Obamacare customers will be down to one insurer when they go to sign up for coverage next year on the public exchanges." (Reed Abelson and Margot Sanger-Katz, "Obamacare Options? In Many Parts of Country, Only One Insurer Will Remain," The New York Times , 8/19/16)

  • Five States Are Served Entirely By Only One Insurer. "But large areas have limited choice, like the five states that now have only one issuer: Alabama, Alaska, Oklahoma, South Carolina and Wyoming." (Reed Abelson and Margot Sanger-Katz, "Obamacare Options? In Many Parts of Country, Only One Insurer Will Remain," The New York Times , 8/19/16)
  • One-Third Of All Counties Have Just One Insurer On The Marketplace In 2017. "More bad news for customers of the Affordable Care Act's healthcare marketplaces: According to a new analysis from the nonpartisan Kaiser Family Foundation, almost a third of counties will have just one insurer participating in the exchanges by 2017, significantly more than the 7% of counties who had one option this year." (Alicia Adamczyk, "One-Third Of Counties Will Have Just One Obamacare Insurer By 2017," Time , 8/29/16)
  • Thirty-Six Percent Of Markets Have Only One Insurer Participating On Their Exchange In 2017, And Fifty-Five Percent Have Two Or Fewer Choices. "Nearly 36% of markets may have only one insurer participating on the exchanges, up from 4% this year, according to an analysis by Avalere Health, a consulting company. And nearly 55% may have two or fewer choices, up from 33% in 2016." (Tami Luhby, "Choices Dwindling For Obamacare Customers," CNN , 8/24/16)

Experts Have Predicted Some States May Not Have Any Insurers Selling Health Plans On Their Exchanges In 2018. "Unless the government promises to continue subsidies and other features of the law for at least another year, some states probably will not have any insurers selling health plans to individuals buying coverage on their own for 2018, the witnesses warned at a Senate hearing." (Amy Goldstein, "Health Insurers Warn Of Wider Defections From ACA Marketplaces For 2018," The Washington Post , 2/1/17)

Humana Announced That They Would Stop Selling Policies On Obamacare Exchanges In 2018. "Humana (HUM) announced it is pulling out of Obamacare for 2018 on Tuesday, the same day it ended a merger agreement with Aetna (AET)." (Tami Luhby, "Humana Pulls Out Of Obamacare For 2018," CNN , 2/14/17)

Across The Country Consumers Are Facing A Lack Of Choice

The Number Of Insurers In Arizona Declined By 6, From 8 In 2016 To 2 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • Insurers Cited Financial Losses In Justifying Their Exit From Obamacare Exchanges. "Six health insurance companies will exit Arizona's marketplace in 2017, with some companies citing financial losses during the first three years of the marketplace." (Ken Alltucker, 'Obamacare' In Arizona: 2 Remaining Insurers Hike Rates By 50-75 Percent," The Arizona Republic , 10/19/16)
  • All Counties Except For One Have Only One Option When It Comes To On-Exchange Insurance Companies. "Only one county has more than a single option when it comes to health insurance companies; Pima County includes both Centene/Ambetter from Health Net plans and a 'catastrophic' plan from Blue Cross Blue Shield. But catastrophic plans are only available to people under 30, and people who have a hardship exemption from the ACA's individual mandate. So in reality, most enrollees in Pima county only have one insurer option: Centene/Ambetter from Health Net." (Jenifer Dorsey, "Arizona Health Insurance," Healthinsurance.org , 2/28/17)
  • One County In Arizona Was Almost Left With No Obamacare Plan Options For 2017. "An Arizona county is poised to become an Obamacare ghost town because no insurer wants to sell exchange plans there. Aetna's recent announcement that it would exit most of the states where it offers Obamacare plans leaves residents of Pinal County, Arizona, without any options to get subsidized health coverage next year, unless regulators scramble to find a carrier to fill the void between now and early October." (Rachana Pradhan, "The County Obamacare Forgot," Politico , 8/22/16)

The Number Of Insurers In Pennsylvania Declined By 5, From 13 In 2016 To 8 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • The Inquirer Headline: "Obamacare Signups Begin, With Fewer Choices And Higher Prices." (Don Sapatkin, "Obamacare Signups Begin, With Fewer Choices And Higher Prices," The Inquirer , 10/31/16)

The Number Of Insurers In Missouri Declined By 3, From 7 In 2016 To 4 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • Obamacare Insurers Withdrawing From Missouri "Has Significant Consequences When It Comes To Competition" And "[Raises] New Questions About The Strength Of The Exchanges." "The shake-up has significant consequences when it comes to competition across the country and particularly in Missouri, raising new questions about the strength of the exchanges - also called marketplaces - and needed fixes the industry wants to see to make them more profitable." (Samantha Liss, "A Broader Loos At Missouri's Insurance Exchange And What Aetna's Exit Means," St. Louis Post-Dispatch , 8/20/16)
  • "A St. Louis Post-Dispatch Analysis Found That With Aetna And UnitedHealth's Departures, 96 Of Missouri's 114 Counties Will Have Only One Insurance Carrier To Choose From" When Shopping On The Obamacare Exchanges. "A St. Louis Post-Dispatch analysis found that with Aetna and UnitedHealth's departures, 96 of Missouri's 114 counties will have only one insurance carrier to choose from when shopping on HealthCare.gov for 2017 coverage. Eighteen counties and the city of St. Louis are expected to have two carriers offering plans on HealthCare.gov." (Samantha Liss, "A Broader Loos At Missouri's Insurance Exchange And What Aetna's Exit Means," St. Louis Post-Dispatch , 8/20/16)
  • Health Policy Experts Said That The Departures That Resulted In A Majority Of Missouri's Counties Having Only One Health Provider "Illustrates A Weakness Of The Federal Government's Position" In Continuing To Promote Obamacare. "Health policy experts still believe the marketplaces are viable but they are concerned about the effect of the departures, particularly in Missouri counties that now have one carrier. They say Aetna's move illustrates a weakness of the federal government's position." (Samantha Liss, "A Broader Loos At Missouri's Insurance Exchange And What Aetna's Exit Means," St. Louis Post-Dispatch , 8/20/16)

"Several Insurers, Including UnitedHealthcare And Humana" No Longer Sold Obamacare Insurance In Wisconsin. "Several insurers, including UnitedHealthcare and Humana, are no longer selling health insurance directly to individuals in Wisconsin, though UnitedHealthcare is allowing people to continue renewing certain plans." (Guy Boulton, "Rates For Obamacare Plans Jump In Wisconsin," The Milwaukee Journal Sentinel , 10/31/16)

  • The Milwaukee Business Journal : The Number Of Insurers On The Marketplace In Milwaukee County Down To Four. "In Milwaukee County, four insurers are selling through the Obamacare exchange for 2017 compared with six in 2016." (Rich Kirchen, "Wisconsin Obamacare Rates To Increase By Average Of 16% In 2017; Deductibles Rising," The Milwaukee Business Journal , 10/25/16)

The Number Of Insurers In Florida Declined By 3, From 10 In 2016 To 7 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • The South Florida Sun-Sentinel : Florida Consumers Have To Choose Among Smaller Insurers With Narrow Provider Networks. "Large insurers are pulling out of many markets throughout the U.S. - including South Florida, the nation's largest Obamacare market - leaving consumers to choose among smaller insurers with so-called narrow provider networks." (Ron Hurtibise, "Obamacare Choices Shrinking In South Florida But Experts Say That Might Not Be Bad," The South Florida Sun-Sentinel , 8/19/16)

The Number Of Insurers In Michigan Declined By 4, From 14 In 2016 To 10 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • Many Large Insurers Pulled Their Obamacare PPO Plans For 2017 From The Michigan Health Insurance Exchange. "Following announcements by for-profit commercial carriers Humana and United Healthcare, nonprofits Health Alliance Plan and Priority Health are notifying agents they are pulling all PPO plans for 2017 from the Michigan health insurance exchange, Crain's has learned." (Jay Greene, "Priority Health, HAP To Withdraw PPO Plans From Michigan Insurance Exchange," Crain's Detroit Business , 8/24/16)
  • This Left Only Blue Cross Blue Shield Of Michigan As The Only Insurer Available To Serve PPO Plans To The 341,000 People In Michigan Who Purchased Subsidized Obamacare Insurance Plans. "That means Blue Cross Blue Shield of Michigan would be the only one left with PPO plans offered to serve 341,000 people who purchase subsidized insurance on the Obamacare marketplace." (Jay Greene, "Priority Health, HAP To Withdraw PPO Plans From Michigan Insurance Exchange," Crain's Detroit Business , 8/24/16)

The Number Of Insurers In Ohio Declined By 5, From 16 In 2016 To 11 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • 19 Ohio Counties Will Only Have One Insurer In The Marketplace And 28 Will Only Have Two Insurers In The Marketplace. "While all 88 Ohio counties currently have four or more insurance companies offering plans through Obamacare, in 2017 19 counties are expected to have just one insurer, and 28 counties will drop to two insurers amid a rash of insurer exits, the Ohio Department of Insurance said." (Adrian Burns, "Obamacare Options To Shrink For Many In Ohio," USA Today , 9/4/16)

The Number Of Insurers In Indiana Declined By 50%, From 8 In 2016 To 4 In 2017. ("Health Plan Choice And Premiums In The 2017 Health Insurance Marketplace," Department Of Health And Human Services , 10/24/16)

  • The Indianapolis Business Journal Headline: "IU Health Plan Quits Obamacare Exchange, Citing 'Heightened Financial Uncertainty.'" (John Russell, "IU Health Plan Quits Obamacare Exchange, Citing 'Heightened Financial Uncertainty,'" Indianapolis Business Journal , 9/26/16)
  • The Indianapolis Business Journal Headline: "Hoosiers Face Higher Premiums, Fewer Choices For Obamacare Coverage ." (John Russell, "Hoosiers Face Higher Premiums, Fewer Choices For Obamacare Coverage," The Indianapolis Business Journal , 10/25/16)

Previous post

Dems Are Making Up Fake Standards To Oppose Gorsuch

Next post

Obamacare's Worst Hits
Republican National Committee

Connect With Us

Republican National Committee
Chairwoman Ronna McDaniel
News & Videos
  • 310 First Street SE, Washington, DC 20003
  • 202-863-8500

By providing your phone number, you are consenting to receive calls and SMS/MMS msgs, including autodialed and automated calls and texts, to that number from the Republican National Committee. Msg&data rates may apply. Terms & conditions/privacy policy apply 80810-info.com.

Paid for by the Republican National Committee. Not Authorized By Any Candidate Or Candidate's Committee. www.gop.com

By providing your phone number, you are consenting to receive calls and SMS/MMS msgs, including autodialed and automated calls and texts, to that number from the Republican National Committee. Msg&data rates may apply. Terms & conditions/privacy policy apply 80810-info.com.

Paid for by the Republican National Committee.
Not Authorized By Any Candidate Or Candidate's Committee. www.gop.com