Aetna completely withdraws from ACA exchanges — 5 takeaways

Aetna is no longer offering individual exchange plans in Delaware or Nebraska in 2018, the final two states the payer had plans in, the Hartford Courant reports.

Advertisement

Here’s what you should know.

1. Aetna previously announced it would halt offerings in Iowa and Virginia. The payer cited mounting financial losses.

2. Aetna said between 2014 and 2016 it lost approximately $700 million.

3. Aetna projects a $200 million loss for 2017, despite a drop in membership. Aetna has only 255,000 members through the exchange.

4. Analysts believe other payers are in “wait-and-see mode.” Many analysts believe the payers will act after the Trump administration decides if it will continue cost-sharing reduction payments.

5. Iowa is at risk of having no exchange plans in 2018.

More articles on coding, billing and collections:
Warren Buffett’s thoughts on the GOP healthcare plan
Average 2018 premium increases in 3 Eastern states: Highest increase totals 45%
Pain management in 2017: Tips for thriving despite the challenges

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.