Is Humana the next payer to jump on the UnitedHealth bandwagon? 5 things to know

Written by Mary Rechtoris | May 05, 2016 | Print  |

Humana recently gave notice it may leave some Affordable Care Act exchanges in 2017, according to U.S. News & World Report.

Here are five things to know:

1. This year, the payer sold coverage in 15 states. Yesterday, Humana officials said it plans to make several changes to its business going forth into next year.

2.  In an email, a Humana spokesperson wrote, "We do not take these changes lightly. We are striving to avoid unnecessary coverage disruption whenever possible." The payer did not delve into detailed changes for 2017.

3. ACA state-based public exchanges opened for enrollment in 2013. Since its inception, many payers have found their customers are sicker than expected and the payers have struggled to attract healthy, younger enrollees.

4. Last month, UnitedHealth, the biggest U.S. insurer, announced it was dropping out of several ACA exchanges in 2017.

5. While Aetna lost more than $100 million on its exchanges last year, the payer still sees potential in the ACA marketplace.

More articles on coding & billing:
UnitedHealthcare now posts Healthgrades star ratings for each physician: 7 key notes
IRS miscalculates ACA tax credits for 7% of Americans: 4 notes
242 legislators oppose Medicare Part B payment proposal — 5 insights

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