CareFirst BlueCross BlueShield controls 67 percent of the district’s individual health insurance market and 75 percent of its small business market. It agreed to sell plans through the district’s exchange, but it announced its subsidiary companies would offer fewer options to small businesses through the exchange than officials expected and offer others only outside the exchange.
That has officials worried that small businesses will forego the exchange and its subsidies and tax credits to obtain their desired plans with the dominant health insurer, undermining the customer volumes needed to capitalize on the exchange’s competitive pricing potential, according to the report.
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