More than half of the country's 498 rating regions had only one or two insurers participating in the ACA marketplace. Those regions are disproportionately in sparsely populated areas. (Photo: Shutterstock)
The Affordable Care Act marketplace is struggling to deliver affordable premiums to rural areas, largely due to a lack of insurance competition.
A new analysis by the Urban Institute, a liberal-leaning think tank, finds that more than half (271) of the country's 498 rating regions had only one or two insurers participating in the ACA marketplace. Those regions are disproportionately in sparsely populated areas.
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