The Weekly Roundup

August 19, 2016 | Pamela Youngberg Dickson

This week, Aetna announced its refusal to participate in the ACA marketplace, reducing its coverage from fifteen states to  just four. “We’re losing money,” the insurance giant says. But some are calling the timing a bit dodgy, since the company is readying its legal team to fight a Justice Department block of its proposed merger with Humana. Oh, and there’s this not subtle reason for the withdrawal: CEO Mark Bertolini wrote in a July letter to the DOJ antitrust team: "[I]f the deal were challenged and/or blocked, we would need to take immediate actions to mitigate public exchange and ACA small group losses. Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint.”

Continue reading →