Connecticut launched its health insurance exchange with the participation of three of its largest carriers—Anthem Blue Cross and Blue Shield of Connecticut, ConnectiCare, UnitedHealthcare—and Healthy CT, the state's CO-OP, but only Anthem and ConnectiCare remain. Meanwhile, commercial enrollment has been mixed for health plans in Connecticut. While overall commercial enrollment has been on the decline, some of the largest payers in the market continue to grow, and the market favors well-entrenched carriers with broad provider networks. In terms of Medicaid, the state expanded its program as made possible under the Affordable Care Act.

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