A report from the Urban Institute examines six states that faced the prospect of counties without a single insurer for 2018. Interviews with regulators and insurers offer insight into how a set of diverse states sought to preserve coverage options for consumers in the wake of considerable instability in federal policy.
The report can be obtained at https://www.urban.org/sites/default/files/publication/94571/2001591_bare_county_brief_1.pdf.