A Healthy Sign For Obamacare

Insurers

Last week, Dan Diamond spotlighted one:

Insurers sat out of the exchanges for different reasons in year one. Some were wary of the start-up risks. Others were openly taking a wait-and-see approach. Still more, it seems, didn’t want any part in the first year’s batch of customers, who were expected to be older and sicker.

And while the technical problems associated with the exchanges have been legion, plans that participated have reported predictably higher revenue, if unclear profits. One million more consumers signed up than expected…and while they weren’t as young and healthy as the insurance companies had hoped for, they were more customers.

Now, more plans want their chance to chase those dollars.

Kliff comments:

It’s not just new entrants into the exchanges that’s increasing competition.

In Washington, for example, there are two plans that only sold in small parts of the state that now want to sell everywhere. Both United Health Care and Moda, a local plan, are increasing the geographic area of where they plan to sell coverage.

The only state that hasn’t reported an increase in carriers for 2015 is Oregon. There, all 12 carriers who sold in 2014 plan to sell again in 2015, but no new insurers have proposed rates. It’s possible that this has to do with Oregon’s incredibly challenged Obamacare rollout — or it could reflect the fact that Oregon had one of the most competitive Obamacare markets to begin with.

More nationally though, the trend seems to be clear: More insurers are getting into the Obamacare game in year two.

Jason Millman adds:

The development is important for a few reasons. For one, recent research suggests that more competition in the exchanges could help temper premium increases. Other new analysis shows that exchange plans, on average, are cheaper than individual plans offered outside the insurance marketplaces. And given the narrow networks in exchange plans, more insurers could mean better access to providers.

In New Hampshire, the exchange’s only insurer last year had excluded 10 of 26 hospitals in the state from its network, meaning the exchange’s customers were limited in their choice of care providers. In 2015, though, New Hampshire will have five insurers selling individual and family health plans on the exchange, state officials announced [last] week. That also includes the expansion of two non-profit, co-op plans that received start-up funding from the Affordable Care Act.