Hard data on trouble you'll have finding doctors in Obamacare

Shutterstock.com

Article Highlights

  • This graph illustrates data we developed on the doctor networks found in the Obamacare health plans v. comparable private health plans.

    Tweet This

  • We looked at the health plans sold in the most populous county within each of these different states.

    Tweet This

  • We compared Anthem’s “Pathway X” Bronze plans marketed in selected regions with its leading PPO plan offered in the same region.

    Tweet This

The graph below illustrates data we developed on the doctor networks found in the Obamacare health plans versus comparable private health plans.

The black text illustrates the average number of specialist doctors found in private health plans. The red text shows how many fewer doctors are found in the Obamacare plans being sold in the same markets, and by the same insurer. To assemble this data, we looked at the health plans sold in the most populous county within each of these different states.

The data is for Anthem BlueCross BlueShield. We chose this insurer because it is regarded to offer higher quality plans in both the commercial market and on the exchanges. Moreover, it operates in these markets nationally, in about a dozen states. This allows us to look across the experience in different states and regions.

Finally, Anthem (unlike many other plans) makes information about its provider networks in both its commercial and exchange plans available on its web site.

For this analysis, we compared Anthem’s “Pathway X” Bronze plans (the name of its exchange offering) marketed in these regions with its leading PPO plan offered in the same region, as a stand-alone product in the individual market or as a commercial product in the employer insurance market. In most cases, the network sizes of the individual and commercial market plans were very similar.

Also Visit
AEIdeas Blog The American Magazine
About the Author

 

Scott
Gottlieb

What's new on AEI

How the Common Core went wrong
image Election countdown: The mood, measurements, and mechanics
image Rubio's defense speech: Fearless, informed, and refreshing
image Sorry Kerry, there is little role for Iran in fighting ISIS
AEI on Facebook
Events Calendar
  • 22
    MON
  • 23
    TUE
  • 24
    WED
  • 25
    THU
  • 26
    FRI
Monday, September 22, 2014 | 2:30 p.m. – 4:00 p.m.
Policy implications of the new US labor market normal

We welcome you to join us as a panel of economists discuss US wage and price prospects in the coming months and the implications for the Federal Reserve’s current unorthodox monetary policy.

Friday, September 26, 2014 | 8:30 a.m. – 9:00 a.m.
#ModiInUS: Can Modi’s visit to the White House put US-India relations back on track?

Tune in for this Google Hangout discussion with three leading experts about the implications of the Obama-Modi summit. Tweet your questions and comments to @AEI with #ModiInUS.

No events scheduled this day.
No events scheduled today.
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.