“Provider networks are getting narrower, which means it is more important than ever that patients understand what kind of plans they are buying, unknowingly enrolling in a narrow network plan could lead to patients being unable to see their preferred doctor or go to their most convenient hospital.”

—Chris Sloan, Director, Avalere

HMOs hold the majority of the ACA marketplace in 2019 at 53 percent, down 4 percentage points from 2018; meanwhile, EPOs grew from 16 to 19 percent over the same period.

Excerpted from: Healthpayer Intelligence