Idaho’s state health insurance exchange, Your Health Idaho, hasn’t seen any insurers flee the market, the Idaho Falls Post Register reports today, and instead ranks among the most successful exchanges in the nation in an analysis by the Heritage Foundation. Post Register reporter Bryan Clark writes that the conservative think tank found that purchasers on Your Health Idaho have more choice, and insurers face more competition, than in any other state except Massachusetts. There are at least four insurers to choose from in each of Idaho’s 44 counties. By comparison, neighboring Wyoming, which went with a federal exchange rather than launching its own, has just one insurer available to its residents buying insurance on the individual market.

“Your Health Idaho has outperformed exchanges around the nation in its ability to attract and retain insurers,” Clark writes. “The exchange was also designed to run without taxpayer support, drawing its budget instead from fees assessed to health plan purchasers. Those fees are lower than those charged on the federal exchange.” You can read his full report here.

Clark reports that the number of insurers offering plans on Idaho’s exchange has remained stable as utilization of the marketplace has steadily climbed, approaching 106,000 by the end of the 2017 open enrollment period, up 8 percent from the previous year. Premiums were up sharply this year at an average of 24 percent, but he reports that’s in line with the national average increases for individual health plans.