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UnitedHealth to leave California ACA exchange; will offer plans in 6 states — 5 things to know

Earlier this week, California officials stated UnitedHealth was leaving the state marketplace, leaving 1,200 Californians to find new policies, according to The Wall Street Journal.

Here are five things to know:

1. UnitedHealth Group reported it filed paperwork to offer insurance plans in merely six state Affordable Care Act marketplaces in 2017. In its filing, the company said it plans to offer On-Exchange products in Nevada, New York and Nevada next year. Harken Health, UnitedHealth Group's subsidiary, will sell plans in Florida, Illinois and Georgia on a "limited basis."

2. UnitedHealth will begin informing consumers enrolled in state exchanges from which the payer is departing, and consumers' existing plans are effective through the duration of this year. They will have the option to change policies during the fall's open enrollment period.

3. At the end of the first quarter, UnitedHealth reported it had nearly 795,000 exchange enrollees.

4. Harken Health said in a statement it would open nearly 12 health centers throughout Miami and Fort Lauderdale (Fla.) once it obtains approval to sell such plans. The company also plans to add new clinics in its Chicago and Atlanta markets.

5. In a statement, UnitedHealth said, "the smaller overall market size and shorter term, higher risk profile within this market segment continue to suggest we cannot broadly serve it on an effective and sustained basis… [but the company is] an advocate for more stable and sustainable approaches to serving exchange markets and those who rely on it for care."

More articles on coding & billing:
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