Anthem scales back exchange participation in Nevada

(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.

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Signage is displayed on the exterior of an Anthem Inc. Blue Cross Blue Shield office building in Wallingford, Connecticut, U.S., on Tuesday, Nov. 22, 2016. Anthem Inc.'s proposed $48 billion merger with Cigna Corp. could give the insurer the power to raise prices for employers both in the 14 states where it does business, as well as across the country, according to a witness in the U.S. government's lawsuit to block the deal. Photographer: Michael Nagle/bloomberg

“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.

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