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  "documentTitle": "The individual health insurance market in 2023",
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      "text": "Insurer participation increased in 2023 for the fifth consecutive year to 303 insurer participants at the state level, nearly matching the all-time high of 306 in 2015.",
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      "text": "Insurer participation increased in 2023 for the fifth consecutive year to 303 insurer participants at the state level, nearly matching the all-time high of 306 in 2015.",
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      "text": "Twenty-six new insurers entered at the state level in 2023 (a 9 percent increase in participation), compared with 48 and 35 new entrants in 2022 and 2021, respectively. This increase was offset by the exit of 20 insurers (a 7 percent decrease) at the state level. The overall net increase of six insurers (a 2 percent increase) in 2023 is lower than the increases observed in the previous four years, which ranged from 11 to 16 percent.",
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      "text": "New entrants include carrier parents that newly filed individual exchange plans in a given state as well as those that were already participating in a state but filed plans under an additional or different set of entities. In an acquisition, an acquired carrier parent is considered to exit while the acquirer is (if applicable) counted as a new entrant, resulting in a net change of 0. Source: McKinsey Center for US Health System Reform analysis of federal and state individual marketplace data",
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