BCBS of Michigan seeks 27% premium increase for ACA exchange plans

Detroit-based Blue Cross Blue Shield of Michigan wants to raise premiums for its individual ACA exchange plans 26.9 percent on average next year — a figure the payer says would increase to 31.7 percent if federal subsidies are discontinued.

Advertisement

BCBSM pointed to several contributors for the request, including rising drug prices, 20 percent of individual BCBSM enrollees dropping coverage after receiving health services, a lack of young policyholders and operating as the only preferred provider organization plan on Michigan’s ACA exchange.

Last year, the payer received $166 million in federal subsidies to offset the cost of offering coverage to low-income consumers on the exchange.

BCBSM’s proposed increases will require regulatory approval. 

More articles on payer issues:
Cleveland Clinic, Oscar Health to offer co-branded health plan
Centene to enter ACA exchanges in 3 states
BCBS of Louisiana names CMO: 5 notes

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.