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

AEI Election Watch 2014: What will happen and why it matters
image A nation divided by marriage
image Teaching reform
image Socialist party pushing $20 minimum wage defends $13-an-hour job listing
AEI on Facebook
Events Calendar
  • 20
    MON
  • 21
    TUE
  • 22
    WED
  • 23
    THU
  • 24
    FRI
Monday, October 20, 2014 | 2:00 p.m. – 3:30 p.m.
Warfare beneath the waves: The undersea domain in Asia

We welcome you to join us for a panel discussion of the undersea military competition occurring in Asia and what it means for the United States and its allies.

Tuesday, October 21, 2014 | 8:30 a.m. – 10:00 a.m.
AEI Election Watch 2014: What will happen and why it matters

AEI’s Election Watch is back! Please join us for two sessions of the longest-running election program in Washington, DC. 

Wednesday, October 22, 2014 | 1:00 p.m. – 2:30 p.m.
What now for the Common Core?

We welcome you to join us at AEI for a discussion of what’s next for the Common Core.

Event Registration is Closed
Thursday, October 23, 2014 | 10:00 a.m. – 11:00 a.m.
Brazil’s presidential election: Real challenges, real choices

Please join AEI for a discussion examining each candidate’s platform and prospects for victory and the impact that a possible shift toward free-market policies in Brazil might have on South America as a whole.

Event Registration is Closed
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.
No events scheduled this day.