Insurers Face Jumbled Market Amid Varying Health Exchange Rules

In states that already have many competing health plans, “the exchange can afford to be a little more selective, versus a state where there aren’t that many health plans, or the politics are such that they don’t believe in as active a state role,” said Jon Kingsdale, a former executive director at the Massachusetts’ health exchange and a managing director at Wakely Consulting Group, an adviser for five of the six states that won approval.

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