This brief examines how the supply of Marketplace issuers changed from 2014 to 2015 in states that used the federal HealthCare.gov platform and how changes in the number of issuers affected premium growth between these two years. We find that a majority of counties in these states gained issuers from 2014 to 2015, and only a small percent of counties experienced a net loss of issuers. Premium growth for counties that that experienced a net gain in issuers was significantly lower than for other counties.
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