Providence Health Plan to close completely after Medicare Advantage deal falls through
Article excerpt
The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” per a spokesperson. Providence Health Plan covers about 440,000 people in a handful of western states. The insurer operated for more than 40 years. But growing challenges - including burdensome regulatory overhead, skyrocketing medical spending and fierce competition from national carriers - made continuing increasingly unsustainable, according to Providence CEO Erik Wexler. The system said in May that it would stop offering individual and family plans on or off the ACA exchanges for 2027, and would not renew employer group plans as contracts come up for renegotiation. Providence is seeking a buyer for its Medicaid plans, with an update expected later this year on whether it’ll sell or close. The company’s MA business looked set to be the sole surviver of the regional health plan’s dissolution, with a deal in the works with a national insurer that would have allowed current members to continue their coverage for 2027. But it’s now set for the scrap heap as well after negotiations fell through, the spokesperson confirmed. The closure will affect more than 64,000 MA seniors covered by Providence. Providence declined to provide the name of the potential acquirer. Providence began exploring a sale of its...
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The company has also signed a definitive agreement to sell a hospital in California to nonprofit NorthBay Health, and that deal is expected to close by the end of 2026.
