Optima Health serves 35 of Virginia’s counties this year. Next year, it will exit about half of those counties and enter two counties in the Charlottesville area, Bloomberg reports.
The health plan told state regulators it “anticipates a substantial increase in membership due to the recent announcement of market exits by other issuers” next year. Those insurers include Indianapolis-based Anthem, Aetna in Hartford, Conn., and Minnetonka, Minn.-based UnitedHealthcare.
A spokesperson for Virginia’s state insurance regulator told Bloomberg the department “is engaged in serious ongoing discussions with potential carriers to try to fill the gaps” left by the drawbacks.
More articles on payer issues:
Anthem expands ACA exchange pullback to 9th state, cuts Kentucky participation in half
Study: Narrow network plans sold on ACA exchanges 16% cheaper than broad network plans
Evergreen Health to be liquidated: 5 things to know
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
