Trump Administration Defends Exchange Paring
The Trump administration went on the offensive today arguing that studies prove the reduction in Exchange enrollment in 2026 was the result of fraud control efforts enacted during the last few years. It said the sharp rise in premiums was not the cause. Policy experts dispute this and argue that tougher enrollment processes and enhanced premium subsidy expiration led to a surge in premiums and enrollment declines.
Enrollment in Exchange plans fell by nearly 3 million nationwide this year to about 19.2 million. The Trump administration says 2.9 million people were removed through fraud initiatives. More are expected to cancel coverage throughout the year due to premium affordability issues.
I have a blog running Thursday on this topic. Stay tuned. But a hint on where I stand – the truth is always somewhere in the middle.
#exchange #enrollment #coverage
Molina’s Exchange Plight
Molina Healthcare says it will lose money in the Exchanges this year after too many healthy members canceled their policies. Molina’s financials did not have as much of a boost in Q2 as other big plans and the Exchange line had a great deal to do with that. Molina says it will exit half the states where it sells Exchange policies.
(Article may require a subscription.)
#healthplans #margins #molinahealthcare
https://www.modernhealthcare.com/insurance/mh-molina-centene-oscar-elevance-aca
Alignment LOC To Help It Acquire Plans, Provider Assets
Booming Medicare Advantage (MA) plan Alignment Healthcare says it will grow into new markets and carry out acquisitions. In a Securities and Exchange Commission (SEC) filing, Alignment says it anticipates acquiring healthcare delivery groups in targeted geographies, standalone and provider-sponsored MA plans, and other risk-bearing assets. It entered into a credit agreement with Citibank. For the next three years, Alignment will have a line of credit worth $200 million.
#alignmenthealthcare #margins #medicareadvantage
https://www.beckerspayer.com/m-and-a/alignment-secures-200m-credit-line-as-it-eyes-plan-acquisitions
— Marc S. Ryan
