Tuesday, July 2, 2013

UnitedHealth, Nation's Largest Health Insurer, Will Leave California's Individual Insurance Market

You know, because ObamaCare was supposed to increase competition and drive down rates, or something.

Ezra Klein hardest hit, after Obama that is.

At the Los Angeles Times, "UnitedHealth to exit individual insurance market in California":
The nation's largest health insurer, UnitedHealth Group Inc., is leaving California's individual health insurance market, the second major company to exit in advance of major changes under the Affordable Care Act.

UnitedHealth said it had notified state regulators that it would leave the state's individual market at year-end and force about 8,000 customers to find new coverage. Last month, Aetna Inc., the nation's third-largest health insurer, made a similar move affecting about 50,000 existing policyholders.

Both companies will keep a major presence in California, focusing instead on large and small employers.

The moves illustrate how different companies are responding to a major overhaul of the health insurance market for millions of consumers. Starting Jan. 1, the federal healthcare law forces insurers to accept all individual applicants regardless of their medical history and provide a comprehensive set of benefits with limits on patients' out-of-pocket spending.

Healthcare experts said some national insurers aren't interested in playing by those new rules in states where their presence in the individual market is relatively small and more profits can be made by tending to the employer market.

"The business model of health insurance is fundamentally changing and some companies are willing and able to adapt," said Sabrina Corlette, a research professor at Georgetown University's Center on Health Insurance Reforms. "Given the limited market share those carriers had, UnitedHealth and Aetna have made the calculation that it required too much of an investment to change their strategy in California."

A spokeswoman for UnitedHealth said "our individual business in California has always been relatively small … [and] over the years, it has become more difficult to administer these plans in a cost-effective way for our members."

The departure of another big-name insurer raised concerns about the effect of reduced competition on California consumers.

"I don't think this is a good result for consumers," said California Insurance Commissioner Dave Jones. "It means less choice, less competition and even more consolidation of the individual market with three big carriers."
The whole point to ObamaCare was to make insurance affordable precisely to those individuals not covered by the employers' market. It's failing.

Added: From Foxmuldar's Blog, "Obamacare Impact: Another Insurer Leaves California Market."

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