A new report funded by the Robert Wood Johnson Foundation provides a state-by-state analysis of how much choice consumers that purchased health insurance through the ACA marketplace actually have regarding the physician they see. In four states, at least three in four marketplace plans have narrow networks that cover 25 percent or fewer of all area physicians. Thirteen states have no plans that so narrowly limit the physicians who are covered. Authors of the report conclude that, now that pre-existing conditions are no longer excluded, plans are using narrow networks to keep premium costs down and remain competitive as consumers shop for coverage. You can read more of the summary and download a PDF of the report brief here.