Competitive Albuquerque Health Insurance Market Gears Up for Coverage Boom

Media Advisory
Oct. 30, 2013

Alwyn Cassil (202) 264-3484 or

WASHINGTON , DC—With pragmatism prevailing in New Mexico’s political tug of war over national health reform, Albuquerque health insurers are eager to compete for new Medicaid enrollees and people eligible for subsidized private health coverage, according to a new Community Report released today by the Center for Studying Health System Change (HSC).

Funded by the Robert Wood Johnson Foundation (RWJF) and based on interviews with local health care leaders in 2013, the study examined the Albuquerque region’s commercial and Medicaid insurance markets.

While partisan differences and turf battles initially delayed implementation of key provisions of the 2010 Patient Protection and Affordable Care Act (ACA), state leaders have established a state insurance exchange and agreed to expand Medicaid to people with incomes below 138 percent of poverty as of January 2014. As a result, new carriers are entering the commercial health insurance market to offer products on the exchange, and Medicaid managed care plans are gearing up for a major state overhaul of the program that will coincide with an estimated 150,000 or more people gaining Medicaid coverage statewide.

Key findings of the report, Competitive Albuquerque Health Insurance Market Gears Up for Coverage Boom, which is available here, include:

As health reform unfolds in the coming years, there will be ongoing issues to track in the Albuquerque-area health care market, including:

Albuquerque is one of eight metropolitan areas HSC researchers are studying on behalf of RWJF’s State Health Reform Assistance Network initiative—the others are Baltimore; Birmingham, Ala.; Denver; Long Island, N.Y.; Minneapolis-St. Paul; Portland, Ore.; and Richmond, Va.

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The Center for Studying Health System Change is a nonpartisan policy research organization committed to providing objective and timely research on the nation's changing health system to help inform policy makers and contribute to better health care policy. HSC, based in Washington, D.C., is affiliated with Mathematica Policy Research.