---
title: One-Third of Counties Will Have Just One Obamacare Insurer by 2017
description: That's up from 7% in 2016.
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published: '2016-08-29T14:40:03.000Z'
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![141017_Money_Gen_FF_Healthcare](https://img.money.com/2014/10/141017_gen_ff_healthcare.jpg)

More bad news for customers of the Affordable Care Act's healthcare marketplaces: According to a new analysis from the nonpartisan [Kaiser Family Foundation](http://kff.org/health-reform/issue-brief/preliminary-data-on-insurer-exits-and-entrants-in-2017-affordable-care-act-marketplaces/), almost a third of counties will have just one insurer participating in the exchanges by 2017, significantly more than the 7% of counties who had one option this year. That equates to 19% of all enrollees facing just one insurance option.

The [New York *Times*](http://www.nytimes.com/reuters/2016/08/28/us/politics/28reuters-usa-healthcare.html) reports this decrease in exchange competition can be attributed to UnitedHealth's planned exit from many marketplaces. [Aetna is also planning to scale back](https://money.com/aetna-obamacare-health-insurance/) its offerings in the government-run exchanges, saying high costs and low enrollment were hurting its bottom line.

![](https://public.tableau.com/static/images/HI/HIMap/2017Map/1_rss.png)

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Leemore Dafny, a professor at Harvard Business School, told the [Wall Street](http://www.wsj.com/articles/health-insurers-pullback-threatens-to-create-monopolies-1472408338) *[Journal](http://www.wsj.com/articles/health-insurers-pullback-threatens-to-create-monopolies-1472408338)* that having so few options is “likely to lead to a very pricey exchange.”

The analysis also says there could be just two insurance options in an additional 31% of counties, meaning about 60% of counties in the U.S. could have 2 or fewer ACA insurers in 2017. In 2016, Wyoming was the only state where 100% of counties had just one marketplace option; in 2017, Alabama, Alaska, Oklahoma, and South Carolina are likely to join it.

***Read Next: Where Turmoil in the Obamacare Marketplaces Will Hurt the Most***

Kaiser makes the point that the analysis is not definitive; insurers must lock in their plans between now and September, so the figures may change.

Some bright spots: 62% of enrollees will still have three or more options in 2017, per the analysis (although that's down from 85% this year). And Cigna has said it is looking to move into additional marketplaces or expand its offerings, according to Kaiser.

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