Cigna exits ACA exchanges and explores EviCore sale
Updated
Updated · Healthcare Dive · Apr 30
Cigna exits ACA exchanges and explores EviCore sale
14 articles · Updated · Healthcare Dive · Apr 30
The insurer said 369,000 members in 11 states must find new coverage by year-end, while first-quarter profit rose 25% to $1.7bn on $68.5bn revenue.
Incoming chief executive Brian Evanko said the moves follow a portfolio review and reflect pressure from higher medical use, expired enhanced subsidies and scrutiny of prior-authorization practices.
Cigna is refocusing on pharmacy services and employer plans after leaving Medicare last year, while Express Scripts' earnings fell during a shift to a rebate-free payment model backed by an FTC settlement.
As insurance giants exit the ACA, can smaller regional players prevent a coverage crisis for millions of Americans?
With premiums doubling for millions, how will US hospitals absorb an estimated $32 billion in unpaid medical bills?