Fairview’s health plan to exit Minn. ex­change

Modern Healthcare - - REGIONAL NEWS - —James Nord

In a sur­pris­ing move that will shake up Min­nesota’s state-run Oba­macare ex­change, Pre­ferredOne, a large provider-run health plan af­fil­i­ated with Fairview Health Ser­vices, will drop out of the MN­sure ex­change for 2015, company and state of­fi­cials an­nounced last week.

The Min­nesota-based car­rier— owned by Fairview Health Ser­vices, Min­neapo­lis; North Memo­rial Health Care, Rob­bins­dale; and Golden Val­ley­based Pre­ferredOne Physi­cian As­so­ciates—of­fered some of the low­est pre­mi­ums on the state-run ex­change for 2014 and cap­tured 53% of in­di­vid­ual-mar­ket en­roll­ment. The plan sig­nif­i­cantly beat out legacy in­sur­ers such as Blue Cross and Blue Shield of Min­nesota.

In an­nounc­ing the exit from the MN­sure mar­ket­place for 2015, MN­sure CEO Scott Leitz and Pre­ferredOne CEO Mar­cus Merz in a joint state­ment called the ex­change an “evolv­ing part­ner­ship.” They also ac­knowl­edged that Pre­ferredOne’s decision will af­fect 2015 rates and en­roll­ment. The ex­ec­u­tives said both or­ga­ni­za­tions would work to min­i­mize the move’s im­pact on en­rollees.

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