A new study from the Kaiser Family Foundation shows that the dwindling number of insurers participating in public exchanges set up under the Affordable Care Act (ACA, also known as Obamacare) is much harder on people in rural communities than on city dwellers. Larger urban areas are more likely to have at least two insurers to choose from, giving those payers an incentive to offer lower rates. However, insurers often have a monopoly by default …
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