Here are five things to know:
1. Aside from UnitedHealth, Humana is the only other payer that explicitly said it is considering leaving the exchanges next year.
2. The analysis found many payers may change the number of products they will offer or types of markets in which they will participate. However, the majority “remain committed to the marketplaces.”
3. Due to steep financial losses, many payers may increase their premiums in 2017 to offset the losses they suffered on ACA marketplaces.
4. While many payers are looking to expand their marketplace presence, they are still calling for changes such as implementing stricter rules about extended sign-up periods.
5. The analysis found, “Most insurers continue to assert that the marketplaces offer value and claim they are, for example, ‘well-positioned’ (Anthem) or in a ‘very good place’ (Aetna) to grow and sustain this business over time. There are clearly insurers that see business value in marketplace participation and are committed to the underlying principles of the [Affordable Care Act.]”
More articles on coding & billing:
Average American family healthcare costs exceed $25k+ — 6 insights
How increasing premiums & deductibles could reign in Medicare spending: 5 notes
CMS expands CPC+ eligibility requirements to include some Medicare ACOs: 7 takeaways
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