The requests garnered approval on Aug. 22 from the Tennessee Department of Commerce and Insurance and now head to the U.S. Department of Health and Human Services for final approval. Two insurers revised original requests for deeper decreases after a commitment from the federal government on risk adjustment payments.
Saint Thomas Health has a workaround for its surgical and obstetrics patients ahead of a potential lapse in an anesthesia contract that could ripple across Middle Tennessee.
Continue reading “Deadline looms as BCBST, Anesthesia Medical Group stalemate continues” →
Family and Children’s Service is expecting an estimated $1.1 million cut in federal funding to operate its statewide health insurance enrollment network, according to a program director.
Continue reading “Get Covered Tennessee braces for ‘huge impact,’ possible layoffs as HHS cuts navigator funds” →
Some health insurance shoppers in Tennessee will see pre-subsidy premiums fall even as insurers plan for fewer healthy people to enroll.
Continue reading “At a glance: Tennessee’s 2019 ACA premiums, risk adjustment impact” →
The row could mean more surprise bills for patients. Mid-state hospitals “find themselves between a rock and a hard place.” Balance billing is a tough health care problem to fix.
Continue reading “Anesthesia group, BCBST quarrel puts Middle Tennessee hospitals in limbo” →
The distinguishing characteristic of Tennessee’s 2019 individual health insurance market may be competition—and geography will matter.
Continue reading “Competition shakes up Tennessee ACA exchange: Highlights urban-rural divide, ups interest in cost impact” →
Tennessee’s individual health insurance market is poised for new entrants and territory expansions from existing insurers in 2019 — a sharp reversal of the diminishing options that many shoppers faced in recent years.
Bright Health and Celtic/Ambetter plan to offer insurance that complies with the Affordable Care Act, per filings with the Tennessee Department of Commerce and Insurance.
Meanwhile, Cigna and Oscar plan to expand their footprint, according to the TDCI.
BlueCross BlueShield of Tennessee will continue to offer individual insurance around the state with the exception of the greater Memphis and Nashville areas.
The Tennessee insurance market has been beset by defections as insurers grappled with high claims cost and losses in the early years of the federal marketplace.
However, filings from BCBST and Cigna this time last year indicated a better understanding of how people used the plans. But the premiums for 2018 were higher due to volatility from federal policy uncertainty.
Insurers had to file their intentions by June 20. Rate filings, or the request for premiums, will be due on July 11.
Where insurers intend to sell:
- BCBST: Everywhere but greater Memphis and Nashville
- Bright Health: New entrant. Greater Knoxville, Memphis and Nashville
- Ambetter by Celtic: New Entrant. Greater Chattanooga and Memphis
- Cigna: Expanding into Knoxville while keeping its Nashville, Memphis and Tri-Cities presence
- Oscar: Expanding into Memphis while maintaining its Nashville presence
Note: This article will be updated.
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