Goldman Sachs analyst predicts Anthem to leave exchanges in 2018: 4 takeaways

In a webinar, Goldman Sachs managed care analyst Matthew Borsch predicts that Anthem will leave the ACA exchanges in 2018, Bloomberg reports.

Here are four things to know.

1. Goldman Sachs cut Anthem's earnings estimates by $.50 in 2017 after the insurer announced plans to remain in the exchanges.

Mr. Borsch believes that after taking a loss this year "Anthem tells investors … that they will be getting out of the exchanges entirely for 2018."

2. After incurring larger than expected losses, UnitedHealth Group, Aetna, Humana and Blue Cross Blue Shield plans scaled back involvement in the exchanges this year.

3. Anthem declined to comment on the matter.

4. Health care policy advisor at Avalere Health Caroline Pearson said Anthem hasn't publicly mentioned leaving the exchanges in 2018, and that the insurer is a dominant player in the individual market.

Anthem currently holds 9 percent of the market share of exchange cases. It's expected that number will grow because of decreased insurer presences. Ms. Pearson believes if Anthem withdraws it "would be a major blow to competition and beneficiary choice."

5. Enrollment into the exchanges is expected to drop in 2017.

More coding, billing and collections news:
3 legislative changes impacting ASCs — Sept. 21, 2016
How technology can improve ASC billing reimbursement as healthcare dives into value-based care
CPA: How health insurers became cable companies — 5 things to know

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Articles We Think You'll Like

 

Featured Whitepapers

Featured Webinars