Federal PPACA health insurance exchanges attracted five times more growth than did state exchanges for the 2015 insurance year and experienced significantly less attrition among those enrolled last year.

That’s what an Avalere analysis of enrollment data reveals. The study raises as-yet-unanswered questions about why federal exchanges are more effective at retaining existing enrollees and attracting new customers. It also adds further evidence to the emerging trend that residents in states with a stronger federal presence are receiving better health care.

Avalere reported that federally run exchanges retained 78 percent of 2014 enrollees and grew by a total of 61 percent compared to the number covered in 2014. State exchanges retained 69 percent of enrollees and grew by 12 percent overall for 2015.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.