Blues Plans Dominate Marketplaces; Medicaid Plans Increase Presence

Between 2016 and 2018, Medicaid-focused insurers expanded their footprint into the Affordable Care Act (ACA) marketplaces by offering lower premiums for silver plans, according to a recent analysis by the Robert Wood Johnson Foundation. Blue Cross Blue Shield plans remained the dominant players, accounting for almost half of marketplace enrollment nationally in 2018. In 20 states, Blues plans had all or the majority of enrollment, yet some Medicaid insurers have increased their share of the market in some of these states. In another eight states, Medicaid plans enrolled most of the marketplace consumers.

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