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Weekly News Wire | October 11, 2015

Highmark Reports $318 Million Loss On Individual Plans Through Health Insurance Marketplace In First Six Months Of 2015

On September 3, 2015, Highmark Health reported that during the first six months of 2015, Highmark Health Plan lost $318 million on the qualified health plans (QHPs) sold through the federal Health Insurance Marketplace. The loss was attributed to lack of historic claims data for that population and a short (90 days) timeline to develop Highmark’s 2015 rate assumptions.

The qualified health plans (QHPs) sold through the state and federal Health Insurance Marketplaces are a provision of the Patient Protection and Affordable Care Act (PPACA). The plans are intended for people earning between 100% and 400% of the federal . . .

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