Although it may be premature to perform last rites on insurance exchanges created under theAffordable Care Act (ACA), it's fair to say that they are on lifesupport in many states.
“We continue to see a decline in issuer participation in thehealth insurance exchanges, leaving consumers with fewer and fewerinsurance options,” Seema Verma, administrator of the federalCenters for Medicare & Medicaid Services, said in a reportissued in late July. “I am deeply concerned about the crisissituation facing the individual market in many states across thenation.”
The agency projects that residents of 49 counties will have nooptions to choose from when they try to enroll in a plan through anexchange for 2018. Another 2.4 million exchange participants in1,300 counties may have only one carrier option next year,according to the report (see chart on page 15).
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