Highmark retained 94 percent of members through the year, the nonprofit's leaders told reporters Friday, while shedding about 63,000 people with individual ACA plans and raising premiums for those who stayed. The people who bought the ACA plans were sicker than the insurer expected, driving losses in 2015 and 2014, the insurer has said.
About 115,000 people across
"With the right changes to the law, or it being replaced with something that we believe can create a healthy risk pool, it could become profitable. The way it sits now, it could be difficult for the health plan to become profitable," she said.
"We continue to increase our scale, we are financially strong and stable, and we maintain our leading positions in the markets in which we compete," Holmberg said.
About 2.5 million people in the 29-county
Highmark is the largest commercial health insurer in
The insurer has reduced its losses among ACA members by treating the population more like people who have
Engaging patients using health coaches and primary care doctors to encourage them to follow treatment plans helps reduce unnecessary emergency room visits, which lowers treatment costs, she said.
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