State Exchange Enrollment Projections

Decision Resources Group has made projections of 2014 exchange enrollment and finds great regional diversity in U.S. health insurance markets. State exchanges, which opened for enrollment October 1, 2013, are state-run and federally run. Blue plans are likely to be among the leaders in the states where they are dominant and able to leverage that clout into narrow-network plans with a price advantage over competitors. The report also reveals the following:
* Health Care Service Corp. will be a force to be reckoned with throughout the Southwest.
* Western states have the highest concentration of state-run exchanges and are likely to have higher than average enrollment.
* Consumer-operated and -oriented plans will have a significant affect in the Northeast.
* In the Midwest, carriers with a track record of managing care for Medicaid beneficiaries are projected to do well in Ohio.
* Other than Florida and Virginia, competition is lacking in Southeastern states.

Dave Raiford, senior director for Decision Resources Group said, “The Southeast is projected to have a heavy presence of national carriers in exchanges throughout the region. Mark Cherry, senior analyst for Decision Resources Group said, “The exchanges were designed for individual customers instead of large multistate groups, so the top exchange performers reflect regional variances…Blue plans in most states were especially well positioned to succeed on the exchange. These regional nuances will also be an integral part of 2015 planning for businesses with interests across U.S. managed care.” For more information, visit

Last Updated 01/19/2022

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