GAO Examines Claims Costs, Participation in ACA Marketplace

Health Leaders: Claims costs, pricing strategies, competition, state policies, and federal funding fluctuations were key factors health insurers considered when determining whether to expand or withdraw from the Affordable Care Act's Marketplace, a federal study shows.

The Government Accountability Office sought to determine the claims costs of payers participating in exchanges through the early years of the rollout, and the factors driving the payers' changes in exchange participation, premiums, and plan design.

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