Maryland released their state based marketplace results. The headline number was 153,000 sign-ups which is drop of 4,000 from 2017. The distribution of enrollment is interesting as it suggests prices matter a lot.
Enrollment rose in rural areas, including an 11-percent increase in the Far Western region of Washington, Allegany and Garrett counties and a 9-percent jump in the Lower Eastern Shore region of Somerset, Wicomico and Worcester counties
Western Maryland had unusual pricing even when they assumed that Cost Sharing Reduction (CSR) subsidies would be paid. The Gold HMO plan was less expensive than the benchmark Silver which was a PPO plan.
— David Anderson (@bjdickmayhew) October 11, 2017
Maryland then Silver loaded CSR into their plans which made Gold plans for subsidized buyers comparatively much cheaper. And (un)-shockingly that had significant results:
20 percent of enrollees — 30,238 — selected Gold plans with lower deductibles than most other metal levels. That was quadruple the percentage of Gold plans a year ago.
This jibes with other reports that I have seen. Silver market share went down significantly but most of the shift out of Silver was to Gold or even Platinum plans that became relatively cheaper due to Silverloading.
Prices and even more importantly, relative prices matter. CSR termination made Gold plans much less expensive relatively speaking for subsidized buyers in most states and they responded.