Where 11 payers are exiting markets for 2023

Some payers are exiting markets because of economic challenges, while others have been asked to leave by regulators. Here are 11 market exits taking effect in 2023. 

  1. ConnectiCare, a subsidiary of EmblemHealth, is exiting the Connecticut small group health insurance market in 2023. The exit affects 20,000 members, according to the Hartford Business Journal.

  2. Friday Health Plans will not offer coverage on the ACA marketplaces in Texas and New Mexico for 2023. A Friday spokesperson told the Alamosa Valley Courier Texas insurance regulators asked the company to pause operations in the state following operational challenges.

  3. Inter Valley Health Plan will cease operations at the end of 2022. The Pomona, Calif.-based payer offered Medicare Advantage plans, and had over 15,000 members in Los Angeles, San Bernardino, Riverside and Orange counties in California. 

  1. Humana is reportedly exiting the Colorado group insurance market, according to Colorado Politics. Though the company has made no formal announcement, it told brokers in a Sept. 19 letter that it would end group coverage by June 30, 2024, and will continue to sell Medicare Advantage, dental and vision plans in the state. 

  1. Bright Health Group is significantly reducing its business operations and will no longer offer individual and family health plans through Bright Healthcare. The individual market exits affected Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Nebraska, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah and Virginia. The company also ended its Medicare Advantage business in Florida, leaving California as the only state where the company offers plans.

  2. Medova Healthcare Financial Group and its president and CEO, Daniel Whitney, was ordered to stop all sales of illegal health plans in Washington state. The Wichita, Kan.-based company sold insurance policies called Lifestyle Health Plans that were not clear about coverage details and what entity was responsible for paying claims.

  3. WEA Trust and Health Tradition Health Plan will exit the Wisconsin health insurance market by the end of 2022, citing financial challenges maintaining the business. 

  4. Salvasen Health was ordered by regulators in Michigan and Texas to stop selling plans. The payer was allegedly selling plans in the states without an insurance license.

  5. Clover Health will exit El Paso County in Texas and Pima County in Arizona in 2023. 

  1. Oscar Health will exit the Arkansas and Colorado insurance markets at the end of 2022, according to the company's first quarter earnings report.
     
  2. Harvard Pilgrim Health Care is ceasing operations in Connecticut after this year. The Canton, Mass.-based payer will continue to cover existing customers until their contracts end, but Harvard Pilgrim will no longer quote and sell new commercial policies.


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