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  • Title: State-Based Marketplaces Outperform Federally-Facilitated Marketplaces.
    Author: Zhu JM, Polsky D, Zhang Y.
    Journal: LDI Issue Brief; 2018 Mar 01; 22(1):1-7. PubMed ID: 29993230.
    Abstract:
    In response to regulatory changes at the federal level, states that run their own marketplaces have taken steps to stabilize their individual markets. In this comparison of state-based and federally-facilitated marketplaces from 2016-2018, we find that SBMs had slower premium increases (43% vs. 75%), and fewer carrier exits, than FFMs. The total population participating in FFMs declined by 10%, while the enrolled population in SBMs remained largely stable, increasing by 2%. We find that the performance of the ACA marketplaces varies by state and appears to cluster around marketplace types.
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