Elevance shuts down D.C. Medicaid business, eyes additional exits after passable Q2
Article excerpt
Elevance has struggled to dig itself out of a trough in the safety-net insurance program, which has been dogged by a mismatch between low state payment rates and high member acuity. Elevance Health is shrinking its Medicaid business, worried about future profits in the beleaguered safety-net insurance program. The insurer is leaving Washington, D.C.’s Medicaid market this summer, and plans to exit additional Medicaid markets over the next 18 months, executives said during a call to discuss Elevance’s second quarter financial results Wednesday morning. It’s the latest example of insurers exiting underperforming markets to try to recoup margins after a difficult few years. The safety-net insurance is a major business for Indianapolis-based Elevance, which is mostly known for its Blues-licensed plans but also operates in a variety of government programs. Elevance covers 8.4 million Medicaid beneficiaries in more than a dozen states and Washington, D.C. The business accounted for $14.4 billion in premiums in the second quarter - about one-third of the insurer’s total premium revenue. But Medicaid is expected to operate at a -1.75% operating margin this year. Elevance has struggled to contain higher spending after policy changes coming out of the coronavirus pandemic caused healthier beneficiaries to leave the program. State rate updates haven’t kept pace with higher acuity of...
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Extracted from this sentence
Elevance brought in $1.5 billion in net income in the quarter, down more than 16% year over year, on operating revenue of $49.8 billion, up 1% year over year.
