Nearly Half of ACA Enrollment in 2018 Came Through BCBS Plans

HealthLeaders Media June 2, 2020
Melanie Blackman

An Urban Institute analysis found marketplace enrollees chose name-brand insurance over Medicaid, but Medicaid enrollment is still growing.

Almost half of the Affordable Care Act (ACA) marketplace enrollment in 2018 was issued by Blue Cross Blue Shield companies, according to a report released by the Urban Institute Monday.

The study analyzed the insurance offerings on the marketplace and found that there has also been an increase in Medicaid enrollment in the recent years.

While Medicaid insurers “have increasingly offered plans with the lowest silver-level marketplace premiums,” the report found that Blue Cross-affiliated insurers made up the majority of enrollment type. But Medicaid enrollment is still growing.

• In 2016, Blue Cross-affiliated insurers made up 42%, while Medicaid made up 15%
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