Marketplace Bibliography


Urban Institute. The COVID-19 Pandemic: Insurer Insights into Challenges, Implications, and Lessons Learned. July 2020.

Health Affairs. Overlap Plans Could Become An Important Option To Promote Continuity Of Care And Contain Health Care Costs During A RecessionMay 2020.


Robert Wood Johnson Foundation. Marketplace Pulse: Medicaid Managed Care Organizations in the Individual Market. May 2019.

American Cancer Society Cancer Action Network. Inadequate Coverage: An ACS CAN Examination of Short-Term Health Plans. May 2019.

Robert Wood Johnson Foundation. Why Don’t More Medicaid Insurers Sell Plans in ACA Marketplaces? April 2019.


Health Affairs. Medicaid MCOS in the Individual Market: Past, Present… and Future? August 2018.


Bipartisan Policy Center. Future of Health Care: Bipartisan Policies and Recommendations. August 2017.

Margaret Murray and Mike Adelberg. The ‘Medicaidization’ of the Health Insurance Marketplace: A Necessary Trend. Health Affairs Blog. May 2017.

Paul R. Houchens, Jason Clarkson, Zachary Foh. Summary of Individual Market Enrollment and Affordable Care Act Subsidies. Milliman. 06 April 2017.

Wrobel, Kurt.  Review of Emerging Data: The Long-Term Sustainability Question for the ACA Marketplace.   Actuary Magazine. 2017

Shubham Singhal, Erica Coe, and Patrick Finn. Potential impact of individual market reforms. McKinsey&Company. February 2017.


Sommers, Benjamin et al. Insurance Churning Rates For Low-Income Adults Under Health Reform: Lower Than Expected But Still Harmful for Many. October 2016.

Wesolowski, Aaron et al. Assessing the State of Provider Networks in Federally-Facilitated Marketplaces. September 2016.

McKinsey and Company. Transitions in coverage type are the norm for most consumers over time. August 2016

Kaiser Family Foundation. Analysis of 2017 Premium Changes and Insurer Participation in the Affordable Care Act’s Health Insurance Marketplaces. July 2016

Commonwealth Fund. Factors Affecting Health Insurance Enrollment Through the State Marketplaces: Observations on the ACA’s Third Open Enrollment Period. July 2016.

McKinsey. Exchanges three years in: Market variations and factors affecting performance. May 2016

Commonwealth Fund. Changes in Consumer Cost-Sharing for Health Plans Sold in the ACA’s Insurance Marketplaces, 2015 to 2016. May 2016

Avalere. Evolving the Risk-Adjustment Model to Improve Payment Accuracy in the Individual & Small Group Market. March 2016.

Kaiser Family Foundation. Marketplace Health Plan Options for People with HIV Under the ACA: An approach to more comprehensive cost assessment. January 2016

Commonwealth Fund. Modest Changes in 2016 Health Insurance Marketplace Premiums and Insurer Participation. January 2016


Commonwealth Fund. Increased Transparency and Consumer Protections for 2016 Marketplace Plans. December 2015

Avalere. Fewer PPOs Offered on Exchanges in 2016. November 2015.

Kaiser Family Foundation. Analysis of 2016 Premium Changes in the Affordable Care Act’s Health Insurance Marketplaces. Oct 2015

New England Journal of Medicine. The Affordable Care Act in 5 Years. June 2015


Rosenbaum, S. Addressing Medicaid/Marketplace Churn through Multimarket Plans: Assessing the Current State of Play. Journal of Health Politics, Policy and Law, December 2014.

Sommers B et al. Medicaid & Marketplace Eligibility Changes Will Occur Often in All States; Policy Options Can Ease Impact. Health Affairs, 2014.


Sabrina Corlette, Joan Alker, Joe Touschner and JoAnn Volk: The Massachusetts and Utah Health Insurance Exchanges: Lessons Learned.  Georgetown Health Policy Institute Center on Children and Families/RWJF. March 2011

Stan Dorn The Basic Health Program Option under Federal Health Reform: Issues for Consumers and States. AcademyHealth and Robert Wood Johnson Foundation. March 2011.

Buettgens, M., Holahan, J., and Carroll C.: Health Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid. RWJF/Urban Institute/SCI. March 2011.

Sharon Silow-Carroll, Diana Rodin, Tom Dehner, and Jaimie Bern. States in Action Health Insurance Exchanges: State Roles in Selecting Health Plans and Avoiding Adverse Selection. The Commonwealth Fund. March 2011.

Kaiser Family Foundation. A Profile of Health Insurance Exchange Enrollees. March 2011.

Deborah Bachrach, Patricia Boozang, Melinda Dutton, and Manatt Health Solutions. Medicaid’s Role in Health Benefits Exchange: A Road Map for States. March 2011.

Sommers, B & Rosenbaum, R. Issues In Health Reform: How Changes In Eligibility May Move Millions Back And Forth Between Medicaid And Insurance Exchanges. Health Affairs. February 2011.


Zelman, W. Community-Based Nonprofit Medicaid Plans and the New Health Insurance Exchanges – Opportunities and Challenges. SCI. October 2010.

Jost, T.: Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues. The Commonwealth Fund. September 2010.

Congressional Research Service: PPACA Requirements for Offering Health Insurance Inside Versus Outside an Exchange. June 2010.