Entries by Richard Mayhew

Follow-up on Aetna

CNBC got a quote from Aetna on their Pennsylvania strategy: “We don’t discuss our performance on a state level,” Aetna spokesman T.J. Crawford told CNBC after the insurer’s profitable Pennsylvania picture was first highlighted by the website Balloon Juice on Wednesday. Crawford declined to say whether Aetna’s plans were profitable in Pennsylvania this year, or […]

Aetna, cynicism and Pennsylvania

Jonathan Cohn reports on report on Aetna’s strategy on linking Exchange participation and the rapid approval of their merger. the move also was directly related to a Department of Justice decision to block the insurer’s potentially lucrative merger with Humana, according to a letter from Aetna’s CEO obtained by The Huffington Post. TLDR: Nice exchanges […]

Revisiting MLR

Raven Onthill in yesterday’s post made a comment about the Medical Loss Ratio (MLR) regulations that I’ve seen in a couple of places and I think it is an understanding that is wrong and needs to be discussed some more: more-or-less guaranteed 15+% gross profit isn’t enough to keep insurers in the exchanges? Capitalism is […]

The big boys leave the Exchanges

Bloomberg reports on some very disappointing news: Health insurer Aetna Inc. will stop selling individual Obamacare plans next year in 11 of the 15 states where it had been participating in the program, joining other major insurers that have pulled out of the government-run markets in the face of mounting losses. Aetna will exit markets […]

KISS in New York

Charles Gaba passed along an interesting tidbit from the New York State ACA enrollment report: As of January 31, 2016, 63 percent of consumers enrolled in standard QHP plans, and 37 percent enrolled in Non-standard QHPs, a decrease from last year when 39 percent enrolled in Non-standard QHPs. The standard plan in New York is […]


An interesting study suggests that reading Harry Potter increases the probability and intensity of anti-Trump political sentiment: Mutz polled a nationally representative sample of 1,142 Americans in 2014, and again in 2016, asking about their Harry Potter consumption, their attitudes on issues such as waterboarding, the death penalty, the treatment of Muslims and gays, and […]