Aetna Calls Off Plan for ACA Expansion, Citing $300 Million in Losses This Year

Aetna has joined UnitedHealth Group and Humana in reconsidering — and even pulling back — its participation in Affordable Care Act (ACA) insurance marketplaces. Facing up to $300 million in ACA policy losses this year, Aetna announced it has canceled a planned expansion into five new state exchanges for 2017. Also on the tablet are […]

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UnitedHealth to Leave All But Six Obamacare States

With the announcement by Covered California that UnitedHealth Group Inc. would be exiting its Obamacare exchange in 2017, the role of the nation’s largest health insurer in the Affordable Care Act (ACA) has now been reduced to six states. UnitedHealth on Tuesday informed its brokers that “at this time, we have filed to offer On-Exchange products” […]

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Insurers Seek Hefty 2017 Increases on Obamacare Policies

Stung by the reality of more older-sicker than younger-healthier customers signing up for their policies, Obamacare health insurers are seeking some whopping premium increases for 2017. From what’s publicly available, for example, Humana in Georgia is seeking a 65.2 percent increase, according to today’s Wall Street Journal. In nearby Florida, Blue Cross and Blue Shield […]

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UnitedHealth Makes It Official: Obamacare Withdrawal Underway

UnitedHealth Group Inc., the nation’s largest health insurance firm, has announced it plans to withdraw from all but “a handful” of Obamacare states in 2017 as it faces losses from the program rising to $650 million this year. UnitedHealth currently insures 795,000 Obamacare enrollees in 34 states, but CEO Stephen J. Hemsley says “the shorter-term, […]

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UnitedHealth Bailing on Third Obamacare State

This time it’s a biggie: UnitedHealth Group Inc., the nation’s largest health insurance firm, is pulling out of the Obamacare sweepstakes in Michigan, the largest state so far that it’s bailed from in the face of $500 million in yearly losses from the national program. Earlier, the company had withdrawn from Arkansas and Georgia amid […]

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Obamacare Six Years Later: Medicaid Enrollment Swells

Six years after passage of the Patient Protection and Affordable Care Act (PPACA, aka “Obamacare”), the ranks of Medicaid and Children’s Health Insurance Program (CHIP) recipients have swelled, while enrollees on the federal and state health insurance exchanges have missed the official target by millions. Such is the conclusion of a study just released by […]

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Obamacare Turns 6 Today

It was six years ago today, on March 23, 2010, that the president signed into law his namesake legislation, the Patient Protection and Affordable Care Act (PPACA), commonly — but not always affectionately — known as Obamacare. In commemoration of the anniversary, the Department of Health and Human Services (HHS) has been running a series […]

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Obamacare Out-of-Pocket Expenses to Rise in 2017

In a publication released this week, the Department of Health and Human Services (HHS) has raised out-of-pocket expenses under Obamacare health plans in 2017 to $7,150 for individuals and $14,300 for joint plans, up from the current levels of $6,850 and $13,700. The raised expense levels were buried on page 332 of an HHS document […]

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New SBC Template Coming for 2017

The Department of Labor (DOL) has submitted for review by the Office of Management and Budget (OMB) a new template for the Summary of Benefits and Coverage (SBC) that accompanies health insurance policies, which will take effect for policies issued starting in April 2017. The public has until March 27 to submit comments to the OMB. SBCs, […]

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Risk Corridor Program Expects to Redistribute $7.7 Billion

The risk corridor/reinsurance program of the Affordable Care Act (ACA) is expecting collections of $7.7 billion under the program this year to compensate insurance companies that suffered losses because of high claims in 2015. The Department of Health and Human Services (HHS) will commence payments in March and wrap them up by June 30 when HHS releases […]

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