|Click for interactive county-by-county Kaiser Family Foundation map via Bloomberg.|
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But insurers like CareSource and Centene saw an opportunity in the bare coverage areas and have stepped in to fill the gap. Both are niche insurers that specialize in managing Medicaid programs for the poor. "This isn't a perfect solution, especially for people who don't receive subsidies and therefore aren't protected from premium increases in a monopolized market," Scott writes. "It's also possible that Trump does something in the next few weeks to disrupt the market again — insurers have until the end of September before they are truly locked into selling plans in 2018."
Scott writes that the country should now focus on counties that have only one insurer in 2018. He's not worried so much about insurers with monopolies charging outrageous prices, but more about customers not being able to shop around for plans that fit their needs.