Business seems to be firming up at the state-based public exchanges.

Managers of several have reported strong year-end enrollment activity, and at least one – Nevada's Silver State Health Insurance Exchange – is starting to report a significant number of paid-up private "qualified health plan" enrollees.

In Nevada, the Nevada Health Link exchange had 10,776 paid QHP enrollees Jan. 5, up from 778 Nov. 30.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.