Yup. That's how the whole thing was set up. The healthy people paid higher premiums to insure the sicker people. They could have just given subsidies to the sicker people and everyone would have had cheaper insurance than Obamacare.
If you are getting health insurance through an employer, you are saving money due to the ACA.
The employer provided health insurance market was a clusterfuck prior to the ACA. That was my start in the insurance business. Believe me, it didn't last long. The money was good, but it was a racket. You see, within that market there were loss reserve requirements. There were no pre-existing conditions clauses. Everyone was accepted. You would get the demographic data from the employer. Employees and dependents, sex and age. That is all you got and the premium was based on those demographics the first year. But the second year, well the premium was based on the claims history of the company.
Small companies were really up against it. Say you have a small manufacturing company. Maybe fifty employees, one of them Joe. Joe has heart problems. He has had bypass surgery and his medical expenses each year run in the six figures. His cost have a significant impact on everyone's premiums. Honestly, he would quit work if it weren't for the health insurance. Once the ACA came along, he did quit, and he was removed from that risk pool saving everyone else money.
So, companies would switch insurance providers every damn year in order to get those demographically derived premiums and run from the claim history derived premiums. I didn't get in the insurance business to make money today. I got in to make money tomorrow and it wasn't working out if I had no persistency, that is keeping business on the books year after year.
But yeah, Joe retired and got a plan on the ACA. And there were millions of Joes. They left the risk pool and employer provided health insurance premiums stopped increasing as much as they did from year to year. I have seen it personally. Just resigned for next year. Actually saw a drop in premiums but now it is just the wife and I, my youngest turned 26 this year. But it has been the same company for years now, not the ever changing companies I used to deal with. And premiums have been re markedly stable.
No one can really see the benefits of the ACA. Especially not like I can. Biden was right, it was a big ******* deal.