“In 2015, people in the exchanges increased their number of prescriptions
filled by 8.6 percent, four times the rate of people who receive
insurance through commercial plans outside of the exchanges,” Johnson writes. However, “The overall amount spent was much lower per person — $777.27 compared to $1060.75” for commercial plans.
“The rapid uptake of the prescription drug benefit suggests there was a
significant unmet medical need for many people gaining insurance through
the exchanges, some of whom could have preexisting conditions and may
not have previously had access to medicines,” Johnson reports. “Before 2014, insurance
companies could refuse coverage or charge much higher premiums for
people with pre-existing conditions.”
Express Scripts handles about a third of the prescriptions paid for by plans sold through the exchanges, including Kynect in Kentucky.