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

Study: Piketty tax plan would boost equality by making rich less rich. But poor would be poorer, too
image Rep. McCaul’s cybersecurity information sharing center: If you build it, will they come?
image Halbig and its aftermath
image Culture of how Washington pays for medical care
AEI on Facebook
Events Calendar
  • 28
    MON
  • 29
    TUE
  • 30
    WED
  • 31
    THU
  • 01
    FRI
Tuesday, July 29, 2014 | 10:00 a.m. – 12:00 p.m.
Is Medicare's future secure? The 2014 Trustees Report

Please join AEI as the chief actuary for Medicare summarizes the report’s results, followed by a panel discussion of what those spending trends are likely to mean for seniors, taxpayers, the health industry, and federal policy.

Event Registration is Closed
Friday, August 01, 2014 | 10:30 a.m. – 12:00 p.m.
Watergate revisited: The reforms and the reality, 40 years later

Please join us as four of Washington’s most distinguished political observers will revisit the Watergate hearings and discuss reforms that followed.

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