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August 1, 2017

Hot Topic

Although many Consumer Operated and Oriented Plans (CO-OPs) are now defunct, a few of the carriers created by the Affordable Care Act are still operating, in some cases under new models.

CO-OPs Get Reinsurance Funds, Owe Millions for 2016 Risk Adjustment
It’s been a year since a batch of CO-OPs, nonprofit plans created by the ACA, failed in Illinois, Oregon and Connecticut.…

Evergreen Health Expects Growth, Returns To Maryland Individual Market as For-Profit
In an environment where it is possible to count on one hand the number of nonprofit CO-OPs still remaining in the market across the U.S., one plan is staging a comeback of sorts.…

A New Hope: Moda’s Risk-Corridors Ruling Sparks Cautious Optimism Among Carriers
Health insurance carriers had just about given up on seeing money they’re owed through the ACA’s risk-corridors program.…

Today's AIS Health Datapoint

19.29% ... is the percentage by which Triple-S Management Corporation decreased its total medical enrollment from 2016 to 2017, the largest drop, percentage-wise, for all Blues plans. Its membership dropped from just under 1.3 million in 2016 to 1,026,788, as of first quarter 2017.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)

            The AIS Guide to Blue Cross and Blue Shield Plans is now online!

Quote of the Day

“You cannot make the case that looking at 2018, looking at [plan] exits, premium increases and the expectations for [lower] enrollment, that this market is doing well….That doesn’t mean it’s in a ‘death spiral.’”

— Chris Sloan, a senior manager at Avalere Health, talks to Health Plan Week about the exchange marketplace.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "New Reports Suggest ACA Exchanges on Upswing, but Experts Feel Less Sanguine" (Free for HPW subscribers; $17 for non-subscribers.)


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