Coverage Expansion Fail: Less Than One-Third Of Obamacare Exchange Enrollees Were Previously Uninsured

Avik Roy | Forbes | January 18, 2014

At the end of the day, for all of the rhetoric and promises about what Obamacare would achieve, the health law’s most ardent supporters have stuck to their guns because of one thing: coverage expansion. But new data suggests that Obamacare may fail even to achieve this goal. Instead of expanding coverage to those without it, Obamacare is replacing the pre-existing market for private insurance. Surveys from insurers and other industry players indicate that as few as 11 percent of those on Obamacare’s exchanges were previously uninsured. If these trends continue, the probability increases that Obamacare will eventually get repealed.

65-89% of Obamacare exchanges enrollees were previously insured

The latest reporting on this topic comes from Christopher Weaver and Anna Wilde Mathews of the Wall Street Journal. They cite several industry surveys on the coverage history of those signing up for insurance on the Obamacare exchanges. The first, from McKinsey & Co., indicates that “only 11 percent of consumers who bought new coverage under the law were previously uninsured.” McKinsey surveyed 4,563 individuals “thought to be eligible for the health-law marketplaces,” of which 389 had enrolled in exchange-based plans.

Of those that didn’t sign up for Obamacare-based coverage, 52 percent stated that “affordability” was their biggest complaint with the exchanges’ plan offerings. Only 30 percent cited “technical challenges in buying the plans.”