United Health Care - Opting Out of Most Exchanges!

[Yagents]

https://www.healthinsurance.org/blog/2016/04/28/why-insurers-thrive-or-dive-in-aca-marketplaces/

And some states are now begging insurers to come play. Sad destruction.

Kansas Seeking To Recruit Health Insurers After Departure Of UnitedHealthcare | KCUR

 

[scagnt83]

https://www.healthinsurance.org/blog/2016/04/28/why-insurers-thrive-or-dive-in-aca-marketplaces/

And some states are now begging insurers to come play. Sad destruction.

Basically what that article says is that the only way for an insurer to be profitable on exchange policies is to offer very high deductibles and let the consumers have the deductible amount subsidized via our tax money.

In other words, there is no way for them to be profitable without large amounts of federal subsidies to the consumer..... which is just a shell game and no different than the Feds directly bailing out the carriers on a yearly basis...

It also sets high deductibles, which along with the narrow networks deter sicker customers and attract healthier ones. Moreover, those high deductibles don't much affect the half of ACA marketplace enrollees who access strong Cost Sharing Reduction subsidies.

 

[Yagents]

Wish I had a carrier that paid a SEP commission.
Consider doing a similar article in your local paper to raise awareness.

Ron Bliss: Not paying broker commissions on marketplace is discriminatory to consumers | NevadaAppeal.com

 

[leevena]

Wish I had a carrier that paid a SEP commission.
Consider doing a similar article in your local paper to raise awareness.

Ron Bliss: Not paying broker commissions on marketplace is discriminatory to consumers | NevadaAppeal.com

Difficult for me to understand how someone could consider the non-payment of commissions to be discriminatory. I could understand using terms such as inconvienent, troublesome and others, but not discriminatory.

 

[Yagents]

Difficult for me to understand how someone could consider the non-payment of commissions to be discriminatory. I could understand using terms such as inconvienent, troublesome and others, but not discriminatory.

In CA, the exchange director claims it is discriminatory because those with the most health conditions, doctors, Rx, etc need an expert to assist these types. Without access to agents, its a way that carriers are avoiding the sick.
They feel someone in good health can buy online, based on price only.

 

[AllenChicago]

In CA, the exchange director claims it is discriminatory because those with the most health conditions, doctors, Rx, etc need an expert to assist these types. Without access to agents, its a way that carriers are avoiding the sick.
They feel someone in good health can buy online, based on price only.

OMG..An Exchange Director with real-world common sense! He needs to be Trump's Health Insurance Czar.

 

[RayNY]

In CA, the exchange director claims it is discriminatory because those with the most health conditions, doctors, Rx, etc need an expert to assist these types. Without access to agents, its a way that carriers are avoiding the sick.
They feel someone in good health can buy online, based on price only.

Discrimination requires a member of a protected class to receive different treatment due to their status.

Those with the most health conditions have exactly the same options as everyone else. Nothing is being denied to them, so there's no discrimination. They have "equal access".

Those with many doctors or RX's are not a protected class in the first place, so it's irrelevant to mention that. Even if it created a protected class, they have equal access, and it's still not discrimination.

Moral is, yet another waste of time/smokescreen while we have real issues to deal with.

 

[Yagents]

Quote of the day from AIS:

"I have seen [UnitedHealth's] reported losses on the individual market and I understand their decision. I do not see how insurance companies and brokers will be able to survive past the coming open enrollment for 2017. I think insurers that continue to offer individual plan options will be with extremely small provider networks. Every broker friend that I have spoken with has told me that they are leaving the individual health market."

— Rick Bailey, president of Rick Bailey & Company, Inc., based in Woodstock, Ga., told AIS's Health Plan Week.

Health Plan Week | AIS Health

 

[Tkruger]

I received word from a industry contact and friend at a Humana call center in Tampa that many other carriers are following suit with UHC's plans. Rather than pulling out of the market all together they plan to reduce their footprint.

The reason we haven't seen any official info yet is they are waiting for DOI approval of rate increases.

This includes:
Blue
Aetna
Cigna
Coventry
Humana

The problem I see is that since right hand isn't talking to left hand between companies this could turn into a major mess come OE as some areas maybe left with no carriers.

 

[kgmom219]

I received word from a industry contact and friend at a Humana call center in Tampa that many other carriers are following suit with UHC's plans. Rather than pulling out of the market all together they plan to reduce their footprint.

The reason we haven't seen any official info yet is they are waiting for DOI approval of rate increases.

This includes:
Blue
Aetna
Cigna
Coventry
Humana

The problem I see is that since right hand isn't talking to left hand between companies this could turn into a major mess come OE as some areas maybe left with no carriers.

Speaking of rate increases...when are they due to the FFM? 5/31?