The Nevada Health Co-Op, a consumer-owned and operated health plan created under the Affordable Care Act, is going out of business because of high costs, state officials announced Wednesday.
Consumers insured by the co-op will be covered through Dec. 31, said Janel Davis, spokeswoman for the Silver State Health Insurance Exchange. The Board of Directors for the co-op, which received $65.9 million worth of solvency loans from the federal government, voted to cease operations effective Jan. 1.
Blue Cross and Blue Shield of New Mexico announced on Wednesday it “will not offer individual on-exchange health insurance products on the New Mexico Health Insurance Exchange in 2016.”
Officials say the rates of Blue Cross and Blue Shield of New Mexico did not cover the claim costs in 2014 and 2015 according to Albuquerque Business First.
Most politicians like to rhapsodize about small businesses – Main Street as opposed to Wall Street – even if their contributions and voting records betray a preference for the latter.
A leading claim made in support of passage of the Affordable Care Act was it would be good for small businesses. In his September 2009 speech to a joint session of Congress, President Obama touted the benefits for small businesses buying through an exchange: “As one big group, these customers will have greater leverage to bargain with the insurance companies for better prices and quality coverage. This is how large companies and government employees get affordable insurance.”
Back in 2009, President Obama spoke to the American Medical Association and said, “We need to bundle payments so you aren’t paid for every single treatment you offer a patient with a chronic condition like diabetes, but instead paid well for how you treat the overall disease.” That’s a great idea, and it could really improve health care. Unfortunately, the president’s signature reform did nothing to move in that direction. Now, as before, almost no one in the health care fields is actually paid to keep people healthy.
At a July town hall in Nashville, Tenn., President Barack Obama played down fears of a spike in health insurance premiums in his signature health law’s third year.
“My expectation is that they’ll come in significantly lower than what’s being requested,” he said, saying Tennesseans had to work to ensure the state’s insurance commissioner “does their job in not just passively reviewing the rates, but really asking, ‘OK, what is it that you are looking for here? Why would you need very high premiums?’”
That commissioner, Julie Mix McPeak, answered on Friday by greenlighting the full 36.3% increase sought by the biggest health plan in the state, BlueCross BlueShield of Tennessee. She said the insurer demonstrated the hefty increase for 2016 was needed to cover higher-than-expected claims from sick people who signed up for individual policies in the first two years of the Affordable Care Act.