New enrollees in PPACA are healthier and spent less on medication than last year, but they still tend to be sicker than those in other health plans.

"While it is encouraging to see data that suggest healthier Americans are enrolling in exchange plans, the research reminds us that many of these patients use this benefit to manage serious, chronic illnesses," said Julie Huppert, vice president of health-care reform at Express Scripts, which recently released a report for the first quarter of 2015.

Prescription medication use among exchange and traditional health plan enrollees was compared in the Express Scripts Exchange Pulse Report. The analysis is based on more than 100 million de-identified pharmacy claims administered by Express Script.

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Alan Goforth

Alan Goforth is a freelance writer in suburban Kansas City. In addition to freelancing for several publications, he has written a dozen books about sports and other topics.