Feb 14 2017
08:14 pm

Even if there is no Obamacare repeal this year, it appears that Knoxville area residents and perhaps the entre state will be without any ACA exchange subsidized insurance in 2018.

Humana, the last remaining provider in the area, announced they will leave the ACA exchange marketplace in 2018 and will no longer offer individual policies of any kind.

(By way of #Alt-Arner)

Brian A.'s picture

Republicans in Washington

Republicans in Washington have no plan, and Republicans in Nashville don't even pretend to care.

This will end in tears.

earlnemo's picture

please explain

What in particular about Knoxville was so unprofitable for BCBS? And why is TN in general a less profitable area?

bizgrrl's picture

Good question. Too many

Good question.

Too many "Independent" people who don't think they need health insurance and/or think the church community should handle it, as mentioned in a KNS letter to the editor today.

R. Neal's picture

The number one reason is

The number one reason is Tennessee's refusal to accept funding for expanded Medicaid.

There are other structural/policy ACA problems with allocation of risk pools and premium leveling compensation/distribution that affect every state, but refusal to expand Medicaid has a multiplier effect and raises costs across the board.

Also, I'm guessing that more Tennessee residents fall in the Medicaid/minimum income qualifying/subsidy gap because of low wages, even if we had expanded Medicaid.

fischbobber's picture

Best most succinct explanation to date

In what tends to be a complex issue beyond the grasp of many with opinions, may I congratulate you on the best, most succinct and understandable summation of the problem I have read.

I wish I'd written it.

bizgrrl's picture

From the Orlando

From the Orlando Sentinel

Humana’s exit should not affect customers in most parts of the country.

But the company is a leading source of coverage in some regions, including Tennessee, which has one of the shakiest markets. The pullout will leave no insurer in 16 Tennessee counties in 2018, according to the nonprofit Kaiser Family Foundation, which is tracking marketplace participation.

Brian A.'s picture

Trump Administration Rule

Trump Administration Rule Aims to Calm Insurers During Health-Law Limbo

It would also give insurers greater latitude over the percentage of health-care costs they cover on exchange plans,


yellowdog's picture

Remind me again

why do we need for-profit insurance companies when Medicare works fine without them?

B Harmon's picture

Medicare has for-profit

Medicare has for-profit options as well as the standard program. There are programs offered by Humana, BCBS, and others. Each company offers a PPO or HMO program. In some cases, there is a very low monthly premium and the copays are reasonable. FWIW, regular Medicare pays only 80% after a deductible is met. There are supplemental plans offered by for-profit insurance to this option but they do have a monthly premium that usually goes up every year.

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