
Health Insurance Companies:
Better or Worse after Obamacare?
The Affordable Healthcare Act, also known as Obamacare, you either love it or hate it. Few are in between. There are stories of some people saying that Obamacare literally saved their life, while others have said that it financially ruined them. For every person that says Obamacare saved them from failing to secure health insurance coverage due to a pre-existing condition there is another person that says the cost was so high that they were forced to choose between insurance and groceries.

The goal of this study
The goal of this study is to find out the which major health insurance companies have grown as a result of Obamacare and which have fallen victim. The results of the study include a state-by-state analysis of health insurance providers and a conclusion that estimates which providers are growing or decreasing in popularity. The studied health insurance companies that had reasonable data to work with included:
- Aetna
- Anthem
- Cigna
- Humana
- United Health

The rocket science
No worries if you’re not into rocket science. We’ll break down the results with easy-to-understand charts down further. Otherwise, in the context of this study, popularity refers to the internet dominance of a provider with data from Google Trends. This is calculated as a percentage of the total searches of all covered providers using the formula below.
P = 100(I)/(T)
Where:
P = popularity
I = search instances of the specified health insurance company
T = total search instances for all health insurance companies
Because all the providers were analyzed as “Topics” instead of “Querries”, even vague queries for the providers were included in the analysis (e.g. UHG Esso was included by Trends even if there is no UnitedHealth Group mentioned in the query). Also note that ratings do not correspond and are not meant to reflect the performance of the number of covered individuals, care or service provided, financial assets of the companies, or any other data. These ratings only correspond to how much internet attention the companies are getting and may involve positive and negative events that caused spikes in their popularity.
Let’s get started.

This helps us establish a baseline to compare trendlines against to see popularity increases and decreases.
Further down we’ll visualize these popularity scores with charts.
State | United Health Group | Anthem | Aetna | Cigna | Humana |
---|---|---|---|---|---|
Alabama | 12 | 15 | 17 | 26 | 30 |
Alaska | 5 | 8 | 68 | 14 | 5 |
Arizona | 12 | 10 | 29 | 34 | 15 |
Arkansas | 11 | 12 | 23 | 22 | 32 |
California | 7 | 47 | 24 | 16 | 6 |
Colorado | 8 | 29 | 19 | 32 | 12 |
Connecticut | 6 | 21 | 41 | 29 | 3 |
Delaware | 8 | 9 | 53 | 20 | 10 |
District of Columbia | 10 | 16 | 42 | 24 | 8 |
Florida | 10 | 6 | 27 | 22 | 35 |
Georgia | 7 | 18 | 26 | 21 | 28 |
Hawaii | 19 | 19 | 22 | 15 | 25 |
Idaho | 11 | 18 | 34 | 19 | 18 |
Illinois | 10 | 14 | 34 | 23 | 19 |
Indiana | 5 | 58 | 11 | 10 | 16 |
Iowa | 21 | 15 | 29 | 14 | 21 |
Kansas | 11 | 10 | 35 | 20 | 24 |
Kentucky | 2 | 33 | 10 | 5 | 50 |
Louisiana | 13 | 6 | 24 | 14 | 43 |
Maine | 4 | 47 | 28 | 15 | 6 |
Maryland | 12 | 12 | 38 | 30 | 8 |
Massachussets | 11 | 17 | 34 | 28 | 10 |
Michigan | 11 | 16 | 33 | 18 | 22 |
Minnesota | 44 | 11 | 15 | 16 | 14 |
Mississippi | 12 | 9 | 19 | 21 | 39 |
Missouri | 10 | 28 | 22 | 25 | 15 |
Montana | 7 | 15 | 25 | 26 | 27 |
Nebraska | 14 | 11 | 45 | 15 | 15 |
Nevada | 14 | 32 | 25 | 14 | 15 |
New Hampshire | 7 | 46 | 13 | 27 | 7 |
New Jersey | 11 | 9 | 53 | 22 | 5 |
New Mexico | 21 | 11 | 21 | 23 | 24 |
New York | 15 | 12 | 42 | 24 | 7 |
North Carolina | 13 | 13 | 29 | 26 | 19 |
North Dakota | 10 | 15 | 32 | 20 | 23 |
Ohio | 7 | 40 | 25 | 11 | 17 |
Oklahoma | 10 | 9 | 35 | 22 | 24 |
Oregon | 12 | 18 | 31 | 26 | 13 |
Pennsylvania | 8 | 9 | 53 | 21 | 9 |
Rhode Island | 22 | 14 | 29 | 26 | 9 |
South Carolina | 10 | 12 | 25 | 25 | 28 |
South Dakota | 9 | 16 | 22 | 24 | 29 |
Tennessee | 9 | 10 | 19 | 37 | 25 |
Texas | 10 | 8 | 37 | 24 | 21 |
Utah | 10 | 13 | 35 | 27 | 15 |
Vermont | 7 | 16 | 23 | 43 | 11 |
Virginia | 5 | 44 | 25 | 17 | 9 |
Washington | 12 | 15 | 39 | 21 | 13 |
West Virginia | 6 | 17 | 35 | 14 | 28 |
Wisconsin | 15 | 28 | 15 | 10 | 32 |
Wyoming | 8 | 13 | 18 | 50 | 11 |


Health Insurance Company Popularity Nationwide
This section contains illustrations of the popularity of health insurance providers by state. The color of each state represents the most popular health insurance company for that state.


Health Insurance Companies Popularity by State
Darker = more popular.
We can also dig deeper to see more how popular each health insurance company was within each individual state.
Each map shows which states the insurance companies are most popular in.
Click any map to enlarge.
Aetna’s Popularity
Most Popular In:
- Alaska
- Pennsylvania
- Rhode Island
- New Jersey
- Delaware
Least Popular In:
- Kentucky
- Indiana
- New Hampshire
- Wisconsin
- Minnesota
Anthem’s Popularity
Most Popular In:
- Indiana
- Maine
- New Hampshire
- California
- Virginia
Least Popular In:
- Louisiana
- Florida
- Texas
- Alaska
- Oklahoma
Cigna’s Popularity
Most Popular In:
- Wyoming
- Vermont
- Tennessee
- Arizona
- Colorado
Least Popular In:
- Kentucky
- Indiana
- Wisconsin
- Ohio
- Alaska
Humana’s Popularity
Most Popular In:
- Kentucky
- Louisiana
- Mississippi
- Florida
- Wisconsin
Least Popular In:
- Connecticut
- Alaska
- New Jersey
- California
- Maine

Alabama health insurance companies

Alaska health insurance companies

Arizona health insurance companies

Arkansas health insurance companies

California health insurance companies

Colorado health insurance companies

Connecticut health insurance companies

Delaware health insurance companies

District of Columbia (Washington DC) health insurance companies

Georgia health insurance companies

Hawaii health insurance companies

Florida health insurance companies

Idaho health insurance companies

Indiana health insurance companies

Illinois health insurance companies

Kansas health insurance companies

Kentucky health insurance companies

Iowa health insurance companies

Louisiana health insurance companies

Maine health insurance companies

Maryland health insurance companies

Michigan health insurance companies

Massachusetts health insurance companies

Mississippi health insurance companies

Minnesota health insurance companies

Montana health insurance companies

Nebraska health insurance companies

Missouri health insurance companies

Nevada health insurance companies

New Hampshire health insurance companies

New Mexico health insurance companies

New Jersey health insurance companies

New York health insurance companies

North Carolina health insurance companies

North Dakota health insurance companies

Ohio health insurance companies

Oregon health insurance companies

Oklahoma health insurance companies

Pennsylvania health insurance companies

South Carolina health insurance companies

Rhode Island health insurance companies

South Dakota health insurance companies

Texas health insurance companies

Tennessee health insurance companies

Utah health insurance companies

Vermont health insurance companies

Virginia health insurance companies

Washington health insurance companies

West Virginia health insurance companies

Wisconsin health insurance companies

Wyoming health insurance companies

Obamacare’s Impact on Health Insurance Companies
We were curious how the popularity of these health insurance companies were impacted by Obamacare,
so we reviewed their trendlines back to 2010. Here are the overall trendlines of the five featured health insurance companies.
Obamacare trendline of ALL health insurance companies
Gold = Aetna health insurance company
Red = Anthem health insurance company
Green = Cigna health insurance company
Purple = Humana health insurance company
Blue = United Health health insurance company

Obamacare trendline of INDIVIDUAL health insurance companies
We can also look more granularly at the trendlines of the individual health insurance companies.





Note – the points on these trendlines are relative to the highest popularity in the graph (popularity by Anthem on February 1-7 2015).
Hence, the highest point is at a score of 100 while a provider with a score of 50 is half as popular as the overall peak point in the graph.
Pre- and Post-Obamacare impact
While it’s nice to look at the overall trendline of the last decade or two, we also wanted to look directly at the “before and after” of Obamacare to see if the trajectories took any obvious changes after the Affordable Healthcare Act was introduced.
For example, you’ll see down below that Anthem health insurance had noticeable growth before Obamacare, but that trendline has since flattened after the introduction of the Affordable Healthcare Act.

Results
We assigned a Growth Score to individual providers based on the slope of the movement of their relative popularity. The Growth Score is equivalent to slope*1000. A positive Growth Score corresponds to growing popularity.
Growth score of all five featured health insurance companies, in order of most growth to least:
- Cigna 14.12
- United Health 5.32
- Anthem -1.92
- Aetna -4.64
- Humana -34.92

Conclusion
- Anthem, Aetna, and UHG all have stable scores, but with a growth score of -34.92.
- Humana is drastically decreasing in internet popularity. If the trend continues, Humana will lose 0.034918018 in relative popularity score each month.
- Ultimately, Cigna has achieved the most growth with a score of 14.12, making it the most popular health insurance company of all the covered providers, and by a large margin.
What do you think?
Share your comments below.