With uncertainty surrounding the fate of the Affordable Care Act (ACA) and significant projected financial losses, Aetna recently announced it will not offer products on any of the Exchanges in 2018. The company offered plans on 15 Exchanges in 2016 but reduced the number down to four in 2017. Within the last couple of weeks, Aetna said it would withdraw from the Iowa and Virginia markets. The most recent announcement confirms the company’s plan to also withdraw from the Delaware and Nebraska markets.
Not surprisingly, Republicans are seizing on the announcement as evidence to support their efforts to repeal and replace the ACA. Insurers, on the other hand, are looking for clarity and certainty. But the Trump Administration continues to be coy about whether or not it will continue to fund the ACA’s cost-sharing subsidies or if it will enforce the mandate requiring people to have insurance coverage. And with the unexpected passage of the American Health Care Act in the House and questions about whether it can get passed in the Senate, clarity and certainty remains elusive.