Tuesday, August 13, 2013

Aetna Withdraws From Maryland Exchange As Limitation On Premiums Would Force It To Operate At A Loss--This Is Only The Beginning Of The Decline Of The Health Insurance Industry

In About-Face, Aetna Backs Away from State-Based Exchanges

BY: ELLIOT M. KASS
AUGUST 13, 2013
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At least one big insurer is rethinking its plans to sell healthcare policies through the state and federal online marketplaces next year.
Aetna has dropped plans to offer health policies through the insurance exchanges in Ohio and its home state of Connecticut, the company revealed last week.
The Buckeye and Nutmeg state exchanges are the latest to join a growing list of local markets in which the carrier has reversed course and decided not to participate. Since June, it has also backed off plans to sell coverage via the exchanges in six other states, including California, Georgia, Maryland, New York, Tennessee and Texas.
In the case of Connecticut, at least, the decision was made "reluctantly," according to a letter to the state's Insurance Department signed by Bruce Campbell, Aetna's senior actuary. "Please be assured this is not a step taken lightly, and was made as part of national review of our Exchange strategy," Campbell wrote.
As in some other states, Aetna abandoned its plans after Connecticut regulators questioned the rates it proposed to offer through the state’s exchange, known as Access Health CT or AHCT. Three insurers will still offer individual coverage through AHCT, including Anthem, ConnectiCare and the nonprofit HealthyCT.
"The good news today is that consumers and businesses will retain several, high quality choices, and today's decision also shows we at AHCT are doing our best to hold rates down," Kevin Counihan, the chief executive of AHCT, said in a statement. "Our goal is clear: we want to bring affordable, quality health care to Connecticut's residents and small businesses."
The story is similar in Maryland, where the insurer said the state’s requirements for rate reductions would force it to operate at a loss. “Unfortunately, we believe the modifications to the rates filed by Aetna and Coventry would not allow us to collect enough premiums to cover the cost of the plans,” Aetna said in a letter to insurance commissioner Therese Goldsmith. Eight other carriers will continue to offer individual policies through Maryland’s web-based insurance market.
In Ohio, Aetna said it’s withdrawing from the individual exchange market for 2014, but plans to continue offering its individual products from its Coventry subsidiary on the exchange. The carrier also said it will continue to provide its individual product in Ohio’s off-exchange market.
Aetna’s decision will leave 12 companies offering 200 individual health insurance plans on the Ohio exchange

3 comments:

  1. I think the reason Aetna withdrew was simple greed. They were not willing to accept the prices their competition was offering. Check this table that compares their approved Obamacare prices to their 8 competitors…

    http://www.huffingtonpost.com/2013/07/26/obamacare-premiums-maryland_n_3661017.html

    Except for "All Savers" (funny name for such a high-priced insurer), EVERY company on the exchange beats Aetna on Obamacare prices. No wonder they pulled out! Good riddance. We don't need them or United Healthcare in the exchanges. Maryland is setting up their own exchange, and it will open on October 1.

    --David

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  2. A good article on five things you need to know about Obamacare costs…

    http://finance.yahoo.com/blogs/the-exchange/5-things-know-cost-obamacare-coverage-191050885.html

    --David

    ReplyDelete
  3. Cost savings of universal healthcare compared to U.S. system.

    See Exhibit 3…

    http://kff.org/health-costs/issue-brief/snapshots-health-care-spending-in-the-united-states-selected-oecd-countries/

    We have the most expensive and least effective system in the world. Facts.

    --David

    ReplyDelete

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