Industrial medical health insurance markets stay extremely concentrated in protection varieties. Nonetheless, the person market, which consists primarily of the ACA marketplaces, has attracted extra insurers and has seen elevated competitors amongst insurers on a wide range of measures for the reason that implementation of the improved premium tax credit in 2021, in line with a brand new Wholesome System Tracker evaluation.

For instance, from 2020 to 2023, the typical market share of the most important insurer in every state’s particular person market fell from 60% to 53%, matching enrollment progress within the ACA Marketplaces pushed by the improved premium tax credit. In distinction, totally insured, employer-sponsored medical health insurance markets have turn into much less aggressive over the previous decade. The evaluation presents enrollment and market competitiveness information for the interval 2013-2023 for totally insured and particular person plans, each nationally and nationwide.

The complete evaluation and different well being care price information can be found on the Peterson-KFF Well being System Tracker, an internet useful resource middle devoted to monitoring and assessing the efficiency of the U.S. well being care system.