RWJF: Key Findings on Marketplace Competition and Premiums, 2019-2022

1. Premiums for benchmark plans in the marketplace fell 1.8% nationally in 2022, following declines of 3.2% in 2020 and 1.7% in 2021.
2. These trends contrast with premium increases in employer-sponsored plans of 3.6% in 2021 and 3.9% in 2020.
3. Most states saw reductions in marketplace premiums, but premium prices varied considerably across states.
4. Regions with higher unemployment rates saw higher premium increases.
5. The number of insurers participating in the marketplace increased from 198 to 288 between 2020 and 2022 in the regions analyzed.
6. Health premiums in markets with only one insurer were $189.50 higher, on average, relative to markets with five or more insurers.

Source: Robert Wood Johnson Foundation, Marketplace Premiums Continue to Decline As Competition Rises, 4/12/22
Source URL: https://www.rwjf.org/en/library/research/2022/03/marketplace...

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