Why Don’t More Medicaid Insurers Sell Plans in ACA Marketplaces?

This report examines ACA marketplace participation by insurers that participated in Medicaid but not in private insurance markets prior to the ACA. The report focuses on the potential hurdles for increased participation from Medicaid insurers. Premiums tend to be lower in regions where Medicaid insurers participate, so increasing Medicaid insurer participation has the potential to provide non-group market consumers more affordable coverage options. The report finds that Medicaid insurers are intrigued by the prospects of a Medicaid buy-in program, but they are waiting to evaluate fully detailed plans when they become available.