Modern Healthcare

Meanwhile . . .

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Humana splits with Obamacare on Valentine’s Day!

Humana pulls out of the ACA exchanges for 2018, leaving some counties in Tennessee without an insurer. While Humana isn’t a huge player on the exchanges (it sells plans in 11 states this year, but had only 204,000 members as of the end of January), the exit sullies the reputation of the exchanges, adding to the belief that they’re in a “death spiral”—as Bertolini said publicly on Feb. 15—and adds fuel to the fire of the GOP’s case for repealing the ACA. President Donald Trump tweeted about Humana’s retreat: “Obamacare continues to fail.” But some experts say it’s possible that uncertaint­y over the future of the individual market prompted Humana to pull out, though that’s unclear. It’s also worth noting that Aetna was accused by Judge Bates of pulling out of the exchanges to gain leverage in its Humana merger and not because of financial losses. Health policy experts say many exchanges and insurers are doing just fine.

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