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Areas with more insurer competition have lower premiums, study shows
Areas with more insurer competition have lower premiums, study shows
Modern Healthcare Illustration / Getty Images
When more insurers participate in a state or regional individual marketplace, premiums fall, according to an analysis of 2020 and 2021 data by the Urban Institute.
The national average benchmark premium in Affordable Care Act marketplaces slightly declined for the third year in a row, falling by 1.7% in 2021. Meanwhile, employer-sponsored marketplace premiums have increased over the same period. However, there is some state-by-state variation in that pattern: seven states saw premiums decline by less than 6%, with 10 more states experiencing double-digit decreases from 10% to 34% within ACA marketplaces. Researchers at the Urban Institute say the reduced premiums are a product of insurers flocking to ACA marketplaces, increasing competition, and new reinsurance programs in states like Colorado and P