In a new report, Blue Cross Blue Shield affirms what many insurers have alleged since the Patient Protection and Affordable Care Act (PPACA) was first implemented in 2014: PPACA enrollees are sicker and more expensive than others.

The reason? Part of the landmark health law requires insurers to offer coverage to those seeking policies regardless of preexisting conditions. Insurers are only allowed to vary the cost of the coverage based on age and tobacco use.

The report only focuses on those enrolled in BCBS plans, but that's a pretty good sample size, given the huge national reach of the association's network across the country.

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