So I hear Cigna is going to

[somarco]

Re: So I hear Cigna is going to screw us out of a commision

Bill, I believe you posted a link to a 3rd party source a few days ago that said Aetna and Cigna would not participate in exchanges. Might have been the same one that said UHC would limit the markets and exchanges they will participate in.

 

[Yagents]

I don't think Cigna was part of that article, but I may be wrong. I recall Aetna and UHC considering on which states will offer best opportunity. Cigna only offers coverage in about 12 states as it is now.

 

[somarco]

United Health Care - Opting Out of Most Exchanges! - Page 2

Quote of the Day "Aetna has already declared that they do not believe their future is selling health insurance coverage in an environment where margins and profits are regulated by an 85% medical loss ratio. They believe their revenues and earnings growth will be from the sale of their intellectual and system assets to the ACOs and exchanges and from offshore opportunities. Cigna has expressed similar strategies."
Peter Hayes, principal at the consulting firm of Healthcare Solutions, told AIS's Health Plan Week.

 

[pahealthquotes]

United Health Care - Opting Out of Most Exchanges! - Page 2

Quote of the Day "Aetna has already declared that they do not believe their future is selling health insurance coverage in an environment where margins and profits are regulated by an 85% medical loss ratio. They believe their revenues and earnings growth will be from the sale of their intellectual and system assets to the ACOs and exchanges and from offshore opportunities. Cigna has expressed similar strategies."
Peter Hayes, principal at the consulting firm of Healthcare Solutions, told AIS's Health Plan Week.

So Obama has ok'd Cigna and Aetna to start drilling offshore?
Seems like they're taking a lets wait and see approach that could be a stroke of genius or a complete failure.

 

[taterpeeler]

I think, and I hope I'm right, that no major player, Aetna UHc Cigna bcbs or Humana bail on the texas market... I just can't see it. They may bail later say a year of so later but not at the start. Is there not something in the law about if you don't play you can't play for like 3 years?

 

[Yagents]

Clearing the cobwebs from my brain....I think you might be right Chuck

 

[Ann H]

Is there not something in the law about if you don't play you can't play for like 3 years?

Hmmmm... I'm thinking I heard that somewhere before. I'm trying to find the documentation, but in the meantime, I found a report from the Congressional Research Service written 10/10/2012 that answers some of our other questions. On page 23 it says,

"An issuer of QHPs must... offer at least one QHP each providing silver and gold levels of coverage... An issuer may offer QHPs outside of exchanges as well as inside, but the premiums would have to be the same, even if the QHP is sold through an insurance agent." http://www.fas.org/sgp/crs/misc/R42663.pdf
​

And on page 5 of a Congressional Research Service report dated in 2010, it says to offer coverage inside an exchange an insurer must:

"offer at least one QHP in the silver level and at least one plan in the gold level in an exchange;" http://www.ncsl.org/documents/health/Inside_vs_OutsideExchange.pdf​

 

[Yagents]

Ann, did you see anything that stated that in order to offer OFF exchange plans, an insurer MUST offer silver/gold INSIDE the exchange?

 

[taterpeeler]

Hmmmm... I'm thinking I heard that somewhere before. I'm trying to find the documentation, but in the meantime,

yes mama-o I was provided this information from you and I used it to appear smarter than I am. not much different than the folks in DC.

I will go back to being normal dumb crazy guy. cht...

 

[somarco]

So Obama has ok'd Cigna and Aetna to start drilling offshore?

Alibama has no say (yet) in diversified, non-health insurance product lines.