Aetna to withdraw from all 2018 ACA exchanges

Hartford, Conn.-based Aetna will exit ACA exchanges in Delaware and Nebraska in 2018, marking the insurer's full exit from the individual marketplace, The Washington Post reports.

Here are four things to know.

1. The payer cited financial losses and uncertainty surrounding the future of the individual marketplace as reason for the withdrawal.

2. The move arrives a week after Aetna said it would leave Virginia's 2018 ACA exchange and a month after the company announced its exit from Iowa's exchange, according to the report.  

3. Delaware, Nebraska, Virginia and Iowa were the last states Aetna sold ACA plans in following its decision to pull out of 11 state exchanges for the 2017 coverage year.  

4. Aetna spokesperson T.J. Crawford told The Washington Post the payer predicts $200 million in losses on its 2017 ACA exchange business. This follows a $450 million loss on its individual health plans, both on and off the ACA exchanges, in 2016.  

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