Figure 1

57% of exchange enrollees will have a choice of three or more insurers in 2017, down from 85% of exchange enrollees in 2016

85%

57%

12%

22%

2%

21%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2016 2017

Shar

e o

f Ex

chan

ge E

nro

llees

Three or more insurers Two insurers One insurer

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016 signups.

Figure 2

1,021 counties have only one exchange insurer in 2017 compared to 225 counties in 2016

2,014

1,002 904

1,120

225

1,021

0

500

1,000

1,500

2,000

2,500

2016 2017

Nu

mb

er o

f C

ou

nti

es

Three or more insurers Two insurers One insurer

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016 signups.

Figure 3

62%

29%

21%

30%

18%

41%

0%

10%

20%

30%

40%

50%

60%

70%

Metro Non-Metro

Shar

e o

f Ex

chan

ge E

nro

llees

Three or more insurers Two insurers One insurer

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gatheredfrom state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016 signups. Metro/Non-Metro county classifications are based on definitions from the Federal Office of Rural Health Policy. Metro columns may not add up to 100% due to rounding.

62% of exchange enrollees living in metro counties will have a choice of three or more insurers in 2017

Figure 4

2%

12%

19%

18%

15%

13%

12%

4%

2%2%

21%22%

20%

19%

5% 5%4%

2%

1%0%

0%

5%

10%

15%

20%

25%

1 2 3 4 5 6 7 8 9 10

Shar

e o

f Ex

chan

ge E

nro

llees

Number of Insurers

2016 2017

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24, 2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016 signups.

Distribution of Exchange Enrollees by Number of Insurers in 2016 and 2017

Figure 5

32%

7%

21%

2%

36%

29%

22%

12%

32%

64%

57%

85%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Counties (2017)

Counties (2016)

Enrollees (2017)

Enrollees (2016)

One insurer Two insurers Three or more insurers

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gatheredfrom state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016 signups.

32% of counties will have one exchange insurer in 2017, compared to 7% of counties with one exchange insurer in 2016

Figure 6

Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24, 2016. Note: We define the number of insurers in a single county as the number of insurers (grouped by parent company or group affiliation) that offer at least one silver plan in the county. For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered from state exchange websites, insurer press releases, and media reports as of August 26, 2016. States that do not use healthcare.gov in 2017 are: California, Colorado, Connecticut, District of Columbia, Idaho, Maryland, Massachusetts, Minnesota, New York, Rhode Island, Vermont, and Washington. See the interactive map here: https://public.tableau.com/profile/kaiser.family.foundation#!/vizhome/InsurerParticipationinthe2017IndividualMarketplace/2017InsurerParticipation

Insurer Participation by County in 2017