Anthem scales back exchange participation in Nevada

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(Bloomberg) -- Anthem Inc. the one-time Obamacare stalwart, is scaling back once again with a plan to retreat from the health law in Nevada for 2018.

The health insurer will offer plans on the Affordable Care Act’s exchange in just three of the state’s 16 counties, after previously selling coverage statewide. In recent weeks, Anthem has said it’ll quit Obamacare markets almost entirely in Wisconsin, Indiana and Ohio.

Anthem has blamed the exits on uncertainty over the future of the health law’s markets, as Republicans in Congress struggle to agree on a way to undo Obamacare. The company still has a larger presence in the ACA than major rivals like Aetna Inc., Humana Inc. and UnitedHealth Group Inc., which have all largely quit selling Obamacare plans altogether.

“Planning and pricing for ACA-compliant health plans has become increasingly difficult due to a shrinking and deteriorating individual market, as well as continual changes and uncertainty in federal operations, rules and guidance, including cost sharing reduction subsidies and the restoration of taxes on fully insured coverage,” Anthem said in a statement.

Anthem will offer on-exchange plans in Clark, Nye and Washoe Counties. Clark, the state’s most-populated county by far, is home to Las Vegas. The company will offer a catastrophic plan statewide, but not on the ACA exchange.

Bloomberg News