Anthem to bolt from Ohio health insurance exchange


Anthem Blue Cross and Blue Shield will pull out of Ohio’s Health Insurance Marketplace at the end of this year, following in the footsteps of competitor, Aetna, which pulled out of the federal health insurance exchange created by the Affordable Care Act (ACA) earlier this year.

Anthem announced its decision to exit the marketplace Tuesday, affecting about 44,000 exchange members in Ohio, according to figures provided by the Ohio Department of Insurance (ODI).

RELATED: 20,000 Ohioans hit by Aetna pullout

Anthem said it will continue to offer an off-exchange individual health insurance plan in Ohio in Pike County next year, but the company’s exit from the marketplace means residents of at least 18 Ohio counties will have no options on the state exchange next year unless another health insurer steps in to fill the void.

“For the past few years we have seen a weakening in the federal insurance marketplace as a number of companies have withdrawn from the exchange,” ODI spokesman Chris Brock said in a statement. “The Department of Insurance is looking for options to help the approximately 10,500 Ohioans in counties where there may not be an exchange plan when this takes effect in 2018.”

Anthem, which said its decision to drop out of the state exchange does not impact individuals or families with grandfathered plans, pointed to the uncertainty surrounding President Donald Trump’s-endorsed GOP plan to replace the ACA, commonly referred to as Obamacare, as the impetus for the move.

RELATED: Three Ohio marketplace insurers seek to raise rates

“We are pleased that some steps have been taken to address the long term challenges all health plans serving the individual market are facing, such as improving the eligibility requirements that allow consumers to purchase a plan outside of open enrollment and improved risk adjustment,” Anthem stated. “However, the Individual market remains volatile and the lack of certainty of funding for cost sharing reduction subsidies, the restoration of taxes on fully insured coverage and, an increasing lack of overall predictability simply does not provide a sustainable path forward to provide affordable plan choices for consumers.”

Still, Anthem reserved the right to return to Ohio’s insurance exchange at a later date: “As the Individual marketplace continues to evolve, Anthem will continue to advocate solutions that will stabilize the market to allow us to return to a more robust presence in the future.”



Reader Comments ...


Next Up in Business

Mercy Health merger: Facts and figures to know about the company
Mercy Health merger: Facts and figures to know about the company

Mercy Health, the largest health system in Ohio and one of the largest employers in the state, has announced it intends to merge with Bon Secours Health System, an East Coast-based health network. The merger will create one of largest health networks in the nation when the deal is finalized. Here are facts and figures about the company to keep in mind...
New jobs, new stores and closings rocked local retail this week
New jobs, new stores and closings rocked local retail this week

Consumers are spending big in 2018. An improving economy kept January retail sales nearly as good as the holiday season’s strong showing. The National Retail Federation announced sales increased 5.4 percent in January compared to last year at the same time. READ MORE Bon-Ton Stores Inc., parent company of Elder-Beerman, is starting going-out-of-business...
Dayton web curating company gets Silicon Valley shoutout
Dayton web curating company gets Silicon Valley shoutout

If you have worthwhile content, a sizable social media following and the vision to monetize all of that, then Arielle Jordan would like a word with you. Jordan, of Miamisburg, is the creator of Curafied, a new Internet platform that enables users to place what they believe is expert, valuable content behind a paywall for publication in a user-friendly...
Should you talk about your pay? Career experts weigh in
Should you talk about your pay? Career experts weigh in

Even with nearly every cultural taboo thrown to the wind− from discussing sexual orientation to politics; one last conversational taboo still exist among Americans − how much we get paid. "These days, it's okay to talk about the troubles we're having with our children or even our marriages," noted one blogger from PayScale...
Kroger exec: No plans for downtown Dayton store right now
Kroger exec: No plans for downtown Dayton store right now

Amazon’s purchase of Whole Foods has waged a full-out war between grocers — signifying an upcoming transformation of the grocery shopping game in major markets across the U.S., including the Southwest Ohio region. The Dayton Daily News asked Tim Brown, president of Kroger’s Cincinnati/Dayton division, what local customers can...
More Stories