Kaiser Georgia Plan Suppression - by Wesley Sanders

Note: I started writing this as a LinkedIn post and ran out of characters. So, I decided to launch a Substack. This one will be deep in the weeds but I’ll soon put out some more accessible posts for those who don’t spend every day combing through regulatory filings. A few months ago, I posted on LinkedIn and noted that Kaiser in Georgia suddenly was in the position where they might receive a large amount of membership as they suddenly became the lowest cost plan by a mile in some major counties. They just entered into a consent order with the Georgia Department of Insurance to pull a large number of plans from the Georgia Access state-based exchange effective December 16, and then remove all of their plans effective January 16. From what I can tell, this does not directly impact off-exchange plans, but carriers already have a lot of flexibility with how they market off-exchange plans, so who knows what they’ll do. The order is pretty vague on the why, but the bottom line comes at the e

Note: I started writing this as a LinkedIn post and ran out of characters. So, I decided to launch a Substack. This one will be deep in the weeds but I’ll soon put out some more accessible posts for those who don’t spend every day combing through regulatory filings. A few months ago, I posted on LinkedIn and noted that Kaiser in Georgia suddenly was in the position where they might receive a large amount of membership as they suddenly became the lowest cost plan by a mile in some major counties. They just entered into a consent order with the Georgia Department of Insurance to pull a large num