Data released this week from data.healthcare.gov show that choice in the types of plans available on the Exchanges continued to diminish between 2017 and 2018. There has been diminished choice in the number of insurers and level of competition. In 2017,142 of the 420 rating areas on which data.healthcare.gov maintains information had just one issuer. For 2018, 179 of the rating areas will have just one issuer.

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