State-Based Marketplaces Outperform Federally-Facilitated Marketplaces

Jane M. Zhu, Daniel E. Polsky, Yuehan Zhang

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalLDI issue brief
Issue number1
StatePublished - Mar 1 2018
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'State-Based Marketplaces Outperform Federally-Facilitated Marketplaces'. Together they form a unique fingerprint.

Cite this