Did you know that each state can decide the number and configuration of coverage regions for ACA markets that will exist within its borders? And, did you know that insurers must elect whether to offer plans on a region-by-region basis? Yes, it’s true. These within-state regions are the real markets, not entire states as is so often conveyed in most discussions of ACA marketplaces.
Do these sub-state region sizes and configurations matter? I answer in my latest AcademyHealth post.