Aetna previously filed documents with regulators indicating plans to expand into five new state exchanges in 2017, according to the Wall Street Journal. The payer is also analyzing whether it will continue to participate in the exchanges for 15 states.
Aetna attributed the gains in operating income to higher fees and revenues from health plans and lower administrative expenses.
Aetna’s total revenue grew 5 percent to $15.95 billion in the second quarter. The growth reflects heightened revenue from healthcare premiums and growing membership in its government business, which was partially offset by commercial membership declines, according to the report.
Overall membership stayed flat at 23 million in the second quarter.
In addition, Aetna’s net income per share in the second quarter of 2016 was $2.23, up from $2.08 in second quarter of 2015. The insurer projects its 2016 full-year net income per share will be $6.28 to $6.48.
“While we are pleased with our overall results, in light of updated 2016 projections for our individual products and the significant structural challenges facing the public exchanges, we intend to withdraw all of our 2017 public exchange expansion plans, and are undertaking a complete evaluation of future participation in our current 15-state footprint,” Aetna CEO Mark Bertolini said in the second quarter statement.
More articles about payer issues:
Anthem requests separate trial from Aetna-Humana
Trios hospitals join Group Health Access network
Missouri Care inks deal with BJC after failing to reach contract with SSM Health
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