Potential $500M losses spur BCBS of Minnesota to drop individualized plans: 6 things to know

Blue Cross and Blue Shield of Minnesota will no longer sell individuals and families health plans on the state’s insurance exchange in 2017, according to Kaiser Health News.

Advertisement

Here are six things to know:

1. In a statement, the payer said it expects losses totaling $500 million in the individual segment over the last three years.

2. Last year, BCBS of Minnesota had a $265 million net loss on insurance operations from individual market plans.

3. BCBS of Minnesota’s decision will impact nearly 103,000 Minnesotans who will have to seek other coverage.

4. In the wake of million-dollar losses, various payers, notably UnitedHealth, are also pulling coverage from different segments to reassess their strategy, according to Cynthia Cox of the Kaiser Family Foundation, who analyzes individual health insurance markets.

5. Gov. Mark Dayton said while more Minnesotans have coverage since the Affordable Care Act’s inception, BCBS of Minnesota’s departure is indicative of the instable health insurer market throughout the United States.

6. The payer’s subsidiary, Blue Plus, will offer plans on the individual market.

More articles on coding & billing:
Coding productivity, accuracy decrease with start of ICD-10: 8 observations
Payers & telehealth companies improving their working relationship — 5 insights
Aetna-Humana’s road to regulatory approval is proving much smoother than Anthem-Cigna’s — Here’s why

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.