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Anthem, MDwise pull out of ACA marketplace in Indiana

Staff Reports - INDIANAPOLIS (WISH) -- Two companies are pulling out of the health insurance marketplace in Indiana.

Anthem Blue Cross and Blue Shield is reducing offerings in the Affordable Care Act marketplace in 2018.

The company said offerings will be limited to off-exchange plans in Benton, Jasper, Newton, Warren and White Counties.

The company cited the "volatile" individual market, which makes "planning and pricing for ACA-compliant health plans increasingly difficult due to a shrinking and deteriorating market as well as continual changes and uncertainty in federal operations, rules and guidance, including cost sharing reduction subsidies and the restoration of taxes on fully insured coverage."

The company said the decision won't affect the majority of Blue Cross and Blue Shield members in Indiana or the members that have "employer-provided insurance, those with Medicare Advantage, Medicare Supplement, Medicaid or those enrolled in 'grandfathered' plans(plans purchased before March 2010)."

Additionally, MDwise said it is pulling out to "focus on its growing Medicaid managed care business."

MDwise said it lost $21 million in 2016 on its Health Insurance Exchange business.

Indiana Gov. Eric J. Holcomb offered this statement:

We've been informed that Anthem and MDwise plan to leave the Obamacare marketplace in Indiana. Hoosiers served by these providers under the federal marketplace will keep their coverage through the end of the year, and this action does not apply to those who are insured through their employers or are members of HIP 2.0, Medicaid or Medicare.

"We'll know the full extent of the issues with the Obamacare marketplace tomorrow when all provider rates are published, but this is more evidence that the current federal system isn't working. Indiana is one of many states where Obamacare is failing to provide citizens options to affordable, quality healthcare.

"This underscores the need for reform, and Indiana is poised to lead the way if given the flexibility and time to tailor the best solutions."

U.S. Sen. Joe Donnelly, a Democrat from Indiana, released this statement:

Today's decision is especially disappointing because tens of thousands of Hoosiers are losing their coverage, an outcome forced by this Administration's deliberate strategy to create chaos and undermine the health care coverage of Hoosiers. We should all be able to agree that we want to protect access to affordable health care, and it is now more important than ever that the Senate work together in a bipartisan way to ensure Hoosiers have access to affordable quality coverage."

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