Not-A-Shock: Early Claims Data Shows Obamacare Enrollees ‘Sicker-Than-Average’

by Greg Pollowitz

Offering a first glimpse of the health care needs of Americans who bought coverage through federal and state marketplaces, an analysis of the first two months of claims data shows the new enrollees are more likely to use expensive specialty drugs to treat conditions like HIV/AIDS and hepatitis C than those with job-based insurance.

The sample of claims data – considered a preliminary look at whether new enrollees are sicker-than-average  - also found that prescriptions for treating pain, seizures and depression are also proportionally higher in exchange plans, according to Express Scripts, one of the nation’s largest pharmacy benefit management companies. . .