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Humana announces it is dropping out of Obamacare in 2018 (Unbalanced Risk Pool)
Hotair ^ | 02/15/2017 | John Sexton

Posted on 02/15/2017 9:17:48 AM PST by SeekAndFind

The collapse of Obamacare continues apace. Earlier today I wrote about the dissolution of two health insurance mega-mergers including the one between Aetna and Humana. This afternoon, Humana announced its plans for moving forward as an independent entity. Those plans do not include participating in Obamacare exchanges next year:

Regarding the company’s individual commercial medical coverage (Individual Commercial), substantially all of which is offered on-exchange through the federal Marketplaces, Humana has worked over the past several years to address market and programmatic challenges in order to keep coverage options available wherever it could offer a viable product. This has included pursuing business changes, such as modifying networks, restructuring product offerings, reducing the company’s geographic footprint and increasing premiums.

All of these actions were taken with the expectation that the company’s Individual Commercial business would stabilize to the point where the company could continue to participate in the program. However, based on its initial analysis of data associated with the company’s healthcare exchange membership following the 2017 open enrollment period, Humana is seeing further signs of an unbalanced risk pool. Therefore, the company has decided that it cannot continue to offer this coverage for 2018. Through the remainder of 2017, Humana remains committed to serving its current members across 11 states where it offers Individual Commercial products. And, as it has done in the past, Humana will work closely with its state partners as it navigates this process.

This move is not completely unexpected. Humana began to hint last May that it was considering pulling back from the exchanges. Then in July, only hours after AG Lynch announced a lawsuit against the company’s merger with Aetna, Humana announced it was dropping most of its Obamacare business. The company went from offering plans in over 1,300 counties in 19 states to just 156 counties in 11 states.

Still, the decision is a blow to the struggling health insurance program. The really bad news is the reasoning the company offered. It’s not precisely clear what it means by “ further signs of an unbalanced risk pool” but the fact that enrollment appears to have declined this year may be part of it. In any case, whatever Humana is seeing must be obvious to the other big players in the industry as well. Those who choose to stay in the market next year (assuming it hasn’t been repealed) can expect to pick up all of the sicker-than-expected customers Humana is now leaving behind. So expect another round of premium spikes next year for whoever is left on the exchanges.

President Trump was quick to capitalize on the news:

Obamacare continues to fail. Humana to pull out in 2018. Will repeal, replace & save healthcare for ALL Americans. https://t.co/glWEQ0lNR4

— Donald J. Trump (@realDonaldTrump) February 14, 2017

The big question now: Will more insurers drop out of the Obamacare exchanges even before Republicans can move on repeal?


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: humana; obamacare

1 posted on 02/15/2017 9:17:48 AM PST by SeekAndFind
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To: SeekAndFind

And this is only after Obama covertly funneled billions to Humana to keep them on board. What a colossal mess. What a colossal waste of taxpayer money.

And yet? Nary a peep or an unkind word from the corrupt MSM about the utter disaster Obama and Democrats foisted upon the public.


2 posted on 02/15/2017 9:21:02 AM PST by Obadiah (Democrats continue to wage their crusade against normal.)
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To: SeekAndFind

What folks don’t realize is that insurance companies are essentially bookies - the bets they take (”premiums”) have to balance with payouts - with enough left over for their expenses and profits.
These bookies are getting stuck with guaranteed “winning” bets - pre-existing conditions - and can’t find the losing bets offset these payouts. The only thing they can do is get out or raise the price of betting.


3 posted on 02/15/2017 9:25:04 AM PST by Little Ray (Freedom Before Security!)
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To: All
A-n-o-t-h-e-r debacle for the anointed magic-man, Obama. His fondest dreams in ruins.

(a) to confer universal healthcare on America----FAILURE.

(b) to create a permanent Democratic Majority---FAILURE.

Eight years later, the Democratic Party is decimated at every level of government. Significantly, Obama handed his famous state-of-the-art election campaign – the data, the staff, the fundraising – to his non-profit Organizing for Action --.not to the Democratic Party. (HAT TIP GOPJ; KeyLargo

(c) to have a third term via Hillary---FAILURE.

(d) to raise zillions for his get-rich-quick foundation and billion dollar library---Valerie must be going nuts trying to spin this into fund-raising fodder.

===========================================

REFERENCE--Aetna chief executive says Obamacare is in a 'death spiral'
Washington Post ^ | February 15, 2017 | Carolyn Y. Johnson / FR Posted by Zakeet

Aetna chief executive Mark Bertolini said Wednesday that the Affordable Care Act's exchanges - the marketplaces where consumers can buy individual health coverage under President Barack Obama's signature health-care law - are in a "death spiral." [Snip]

"My anticipation would be that in '18, we'll see a lot of markets without any coverage at all," Bertolini said. Representatives of the Health and Human Services Department did not immediately respond to a request for comment. (Excerpt) Read more at washingtonpost.com ...

4 posted on 02/15/2017 9:27:45 AM PST by Liz (Coulters Law: the MSM's delay inreporting a perp means the less likely it's a white Christian)
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To: SeekAndFind
Those who choose to stay in the market next year

Obamacare was designed to fail and drive the insurance companies under and then have the Democrats step in with a single payer system to "save" us.

They didn't expect small-town America to rise up and stop them.

5 posted on 02/15/2017 9:36:11 AM PST by libertylover (In 2016 small-town America got tired of being governed by people who don't know a boy from a girl.)
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To: SeekAndFind

Unbalanced Risk Pool.......ha! Democrats and liberals always try to repackage words that have a negative connotation. In my day, this was called “The Assigned High Risk Pool.” Basically pool insurers play Russian Roulette in whose turn it is in the barrel when the medical expense lotto number comes up for an Obama Uninsurable.


6 posted on 02/15/2017 9:38:19 AM PST by Gaffer
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To: SeekAndFind

Robertscare,Hillarycare,Obamacare failing?

What would SMARMY SCUMBAG Gruber do?


7 posted on 02/15/2017 9:38:39 AM PST by PGalt (HOORAY President Donald J. Trump)
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To: SeekAndFind

And how will any of the replacements being floated by the GOP change this and manage to balance the risk pool?


8 posted on 02/15/2017 9:43:25 AM PST by DoodleDawg
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To: SeekAndFind

That’s THREE today, by my count


9 posted on 02/15/2017 9:51:41 AM PST by Mr. K
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To: SeekAndFind

Trump should .....

Ask Chuckie Schumer and Elizabeth Warren to fix it NOW. Obamacare is CRASHING How are they going to fix it?

Tell the demos to put up or shut up. I would prefer this to the republicans being the bad guys all the damned time.


10 posted on 02/15/2017 10:01:18 AM PST by boycott
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To: SeekAndFind

The most nefarious Ponzi Scheme in U.S. History - 0bamacare.


11 posted on 02/15/2017 10:55:31 AM PST by Cecillia
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To: Cecillia
The most nefarious Ponzi Scheme in U.S. History - 0bamacare.

Social Security

12 posted on 02/15/2017 10:56:38 AM PST by 1Old Pro
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To: SeekAndFind

Republicans better get on the stick.


13 posted on 02/15/2017 1:19:52 PM PST by vpintheak (Freedom is not equality; and equality is not freedom!)
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To: 1Old Pro

Agreed! You’ve presented another “winner.”


14 posted on 02/15/2017 5:03:58 PM PST by Cecillia
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