U.S. President Donald Trump in the Rose Garden of the White House, on Thursday, May 16, 2019.
Oscar Health, which made its name as a startup focused on providing Obamacare coverage, last week was the latest health insurer to announce improving profits and future expansion of health benefits under the ACA in 2020 and beyond.
"Oscar is committed to expanding our footprint so we can offer our tech-driven, consumer-facing health insurance to more people across the country,” Oscar said after the insurer reported its enrollment grew to 255,000 while its underwriting profit increased nearly 5% to $81.7 million in the first quarter of this year.
Oscar’s expansion strategy and similar moves by other insurers comes despite the Donald Trump White House’s efforts through the U.S. Justice Department to invalidate the entire ACA. Earlier this month, the Justice Department filed a formal request to strike down the law, which expanded health insurance coverage to more than 20 million Americans.
But health insurer business strategies are becoming more aggressive as the market stabilizes in part because of price increases and Democratic control of the U.S. House Representatives, which has vowed to fight Trump’s and Republican efforts to strip away the ACA’s patient protections, particular those with pre-existing medical conditions. Oscar has expanded its individual and small business coverage over the years into 14 markets in 9 states and has another market in its sights for 2020, according to reports.
“There are regulatory requirements with which we need to comply and licenses we need to obtain in order to operate in new markets,” Oscar said in a statement. “These new entities are merely preparatory and, pending approval, we will announce our 2020 footprint and the products we will offer in each market later this year."
Oscar is the latest insurer to talk about expanding into new individual markets under the ACA. Centene, the biggest provider of Obamacare, operates in 20 states and regularly talks about future expansion. Centene's proposed acquisition of WellCare Health Plans could also be a beachhead for expansion into new markets.
Other insurers are also looking at returning to markets they left. Molina Healthcare last month said it plans to expand its business under the ACA next year.
“Our marketplace business continues to perform well,” Molina CEO Joseph Zubretsky told analysts on the company’s first quarter earnings call. “Recall that for the 2019 underwriting year, we took a conservative rating posture to maintain our attractive margin position. We now have a scaled and profitable business that we plan to grow in 2020 and beyond.”
Oscar Health 作为一家专注于提供奥巴马医疗保险的初创公司，上周成为最新一家宣布2020年及以后根据 ACA 提高利润和扩大医疗福利的健康保险公司。
Oscar 表示：“ Oscar 致力于扩大我们的业务范围，以便我们能够向全国更多人提供由科技驱动的面向消费者的医疗保险。”今年第一季度， Oscar 的承保利润增长了近5%，达到8170万美元。
尽管唐纳德?特朗普( Donald Trump 白宫)通过美国司法部( Justice Department )努力使整个 ACA 失效，但奥斯卡的扩张战略和其他保险公司也采取了类似举措。本月早些时候，美国司法部正式提出要求，要求废除这项法律，将医疗保险覆盖范围扩大到超过2000万美国人。
但随着市场企稳，医疗保险公司的商业策略变得越来越激进，部分原因是价格上涨和民主党对美国众议院的控制。众议院誓言打击特朗普和共和党剥夺 ACA 患者保护措施的努力，尤其是那些有医疗状况的患者。据报道，奥斯卡多年来将其个人和小型企业的覆盖范围扩大到了9个州的14个市场，并将在2020年迎来另一个市场。
奥斯卡是最新一家谈论在 ACA 下拓展新的个人市场的保险公司。奥巴马医改最大的供应商 Centene 在20个州开展业务，并定期讨论未来的扩张计划。Centene 拟收购 WellCare Health Plans 也可能成为拓展新市场的灯塔。
其他保险公司也在考虑重返他们离开的市场。Molina Healthcare 上月表示，计划明年在 ACA 下扩大业务。
“我们的市场业务继续表现良好，” Molina 首席执行官 Joseph Zubresky 在公司第一季度财报电话会议上对分析师表示。“回想一下，在2019年的承保年度，我们采取了保守的评级姿态，以保持我们有吸引力的利润率。我们现在有一个规模和盈利的业务，我们计划在2020年及以后实现增长。”