Payer

The 36 independent, locally-operated Blue Cross and Blue Shield Association companies spent more than $250 million on community health initiatives last year, according to the association's 2016 The Health of America Community Investment report.

Mark Bertolini, CEO of Hartford, Conn.-based Aetna, said the company's decision to relocate its headquarters is "an investment in attracting different kinds of people into our organization," according to a CNBC report.

David Cordani, CEO of Bloomfield, Conn.-based Cigna, said the payer has between $7 billion and $14 billion in capital to use for mergers and acquisitions this year, according to Reuters.

Here are 15 updates on insurers leaving, entering or remaining in the 2018 ACA exchanges. Note: These are preliminary filings. Insurers have until Sept. 27 to send final agreements and confirmed plan lists to CMS.

Indianapolis-based Anthem said it will pull out of the ACA exchanges in Indiana and Wisconsin for 2018, according to Bloomberg.  

Midland (Texas) Memorial Hospital and Hartford, Conn.-based Aetna will continue in-network access for Aetna members at Midland Memorial facilities, CBS 7 reports.

A proposed expansion of Louisville, Ky.-based Passport Health Plan — a Medicaid managed care organization — hinges on the future of the ACA, according to WDRB.

New York City-based startup Oscar Health will extend its ACA exchange presence in Ohio, Texas, New Jersey, Tennessee and California for 2018.

Minnetonka, Minn.-based Medica, the only payer offering ACA exchange plans statewide in Iowa for 2018, seeks an average 43.5 percent rate increase for individual plans next year, Live Well Nebraska reports.

After much speculation, no Colorado insurers will leave the state's exchange next year, according to the  Denver Post.