ACA multistate program not sparking competition

A program meant to beef up competition on Obamacare exchanges may not add much to the mix of insurance options after all. The Multi-State Plan Program — which was the closest thing to a watered-down "public option" that made it into the final health law — is eventually supposed to provide at least two new insurance options in every state. The problem is that the only insurers likely to be able to quickly scale up coverage across the country are already doing just that: selling their plans from coast to coast.