Stepping into the Breach: Preventing Bare Counties for 2018

This report examines six states that faced the prospect of bare counties for 2018: Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington. Either the state had only one participating insurer, or the last remaining insurer in some counties announced a planned exit during the spring or summer of 2017. Interviews with insurers and state regulators provide insights into how they confronted the threat of bare counties.