
Aetna to Stay in ACA Markets, May Add More States
While final decisions will come in Septembers, Aetna's early word comes in contrast with that of other large insurers heading into 2017.
The health insurer Aetna said Wednesday it plans to stay in the 15 states where it offers coverage on health exchanges under the Affordable Care Act (ACA). It may even go into a few more states, but final decisions will come in September.
Aetna’s news was part of its first quarter earnings call, according to several news reports. Spokesmen for the company said that rate filings have been submitted in all states where Aetna currently operates on the exchanges. The possible new markets were not disclosed.
The insurer’s posture contrasts with that of
Of note, Aetna and Humana have a pending merger before state and federal regulators; the joint announcement on the union said Humana’s headquarters in Louisville, Kentucky would be take the lead in providing managed care services for Medicare and Medicaid, while the current Aetna headquarters in Hartford, Connecticut, would be the lead for commercial coverage.
According to Reuters, Aetna operates on exchanges in Arizona, Delaware, Florida, Georgia, Illinois, Iowa, Kentucky, Missouri, Nebraska, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, and Virginia.
The insurer has previously announced losses of around 4% for 2015 but has hopes to break even on ACA business for 2016.
Now, the big question is what Aetna and other insurers will seek in rate hikes for 2017. A report from the
The question is whether the 2016 rates accurately captured all that or whether more adjusting will be needed for next year.
“This still is a new market, with insurers still finding their way, and as with 2016, it is likely that we will see a wide range of requests for rate changes and new product approvals across insurers and geographic areas,” wrote KFF’s Gary Claxton and Larry Levitt, MPP.
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