HealthExec May 21, 2018
Insuring individuals through Medicaid costs 43 percent less than coverage found on the Affordable Care Act (ACA) exchanges, according to an analysis released by UnitedHealth Group which argued the exchanges have failed to live up to expectations.
UnitedHealth—which largely abandoned the exchanges after projecting losses of $650 million in 2016—said it costs an average of $9,400 annually to cover a low-income, subsidized enrollee on the marketplace with $7,000 of that cost being borne by the federal government. For someone eligible for Medicaid thanks to the ACA, the overall cost is $5,400—with $5,100 coming from federal funds.
The same report also criticized the ACA exchanges for failing to reach enrollment expectations and making up a smaller-than-expected share of coverage than commercial...
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