Blue Cross Blue Shield Report Suggests That Obamacare Is Doing Its Job

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.


Blue Cross Blue Shield has a new report out that examines Obamacare enrollees in 2014 and 2015:

Health insurers gained a sicker, more expensive patient population after the Affordable Care Act expanded coverage in 2014, according to an early look at medical claims from the Blue Cross Blue Shield Association, which represents the most common brand of insurance. Newer customers had higher rates of diabetes, depression and high blood pressure, among other conditions, the association said in a report released Wednesday.

Technically, there’s nothing incorrect in that paragraph. But take a look at the actual data from the report:

It’s true that Obamacare enrollees tended to be sicker than pre-Obamacare individual enrollees. But that’s not because Obamacare enrollees are especially sick. In fact, they’re nearly identical to people enrolled through employer plans, which take all comers and therefore come pretty close to representing the average patient in America.

But if the Obamacare enrollees are about average, what does this say about the pre-Obamacare enrollees? That’s pretty obvious: they were considerably healthier than average. Why? Because insurance companies routinely refused to offer individual coverage to anyone who showed even a glimmer of poor health. Obamacare put an end to that, and that’s good news.

Oddly, the BCBS report concludes that Obamacare enrollees used more medical services and ran up higher bills compared to those in employer plans. That’s a little hard to make sense of, since Obamacare enrollees are no sicker than average and generally have higher deductibles and copays than people in employer plans, which should motivate them to use fewer medical services. One possibility is that this is related to heart disease, the one area where Obamacare enrollees really do seem to be sicker than average. Another possibility is that this is a one-time thing: lots of people had been putting off medical care, and when Obamacare kicked in they spent the next year or two making up for it.

Overall, I’d say the bottom line from this report is two things. First, Obamacare enrollees look fairly average compared to everyone else. Second, it’s still early days. It’s hard to draw conclusions based just on the startup period. We’ll know a lot more after five or ten years have passed.

FOLLOW THE MONEY

Corporations and billionaires don’t fund journalism like ours that exists to shake things up. Instead, support from readers allows Mother Jones to call it like it is without fear, favor, or false equivalence.

And right now, a longtime friend of Mother Jones has pledged an incredibly generous gift to inspire—and double—giving from online readers. That's huge! Because you can see that our fall fundraising drive is well behind the $325,000 we need to raise. So if you agree that in-depth, fiercely independent journalism matters right now, please support our work and help us raise the money it takes to keep Mother Jones charging hard. Your gift, and all online donations up to $94,000 total, will be matched and go twice as far—but only until the November 9 deadline.

$400,000 to go: Please help us pick up the pace!

payment methods

FOLLOW THE MONEY

Corporations and billionaires don’t fund journalism like ours that exists to shake things up. Instead, support from readers allows Mother Jones to call it like it is without fear, favor, or false equivalence.

And right now, a longtime friend of Mother Jones has pledged an incredibly generous gift to inspire—and double—giving from online readers. That's huge! Because you can see that our fall fundraising drive is well behind the $325,000 we need to raise. So if you agree that in-depth, fiercely independent journalism matters right now, please support our work and help us raise the money it takes to keep Mother Jones charging hard. Your gift, and all online donations up $94,000 total, will be matched and go twice as far—but only until the November 9 deadline.

$400,000 to go: Please help us pick up the pace!

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate