Bright Health exits six states after a year of losses

Bright Health exits six states after a year of losses

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Bright Health Group will no longer offer individual and family plans in Illinois, New Mexico, Oklahoma, South Carolina, Utah or Virginia after 2022 in an effort to stabilize its finances after a difficult year situation.

Insurtech earlier this year outlined plan As the pandemic pushes up medical costs for members acquired through special enrollment periods, limiting their growth and exiting the expensive market.

“Fulfilling our commitment to delivering a truly consistent model of care requires us to continually assess market changes and evolve to have the greatest impact today and over the long term,” Bright Health said in a statement. “There will be no changes to membership or providers in 2022, and we will work to ensure that all affected members transition to the new program during the next open enrollment cycle.”

Those six markets are expected to account for less than 5% of the company’s total revenue in 2022, and their exit will have little impact on earnings, according to Bright Health.

In 2021, Bright Health loses $1.17 billionanalysts expect it to lose another $1.4 billion this year.

The company’s insurance division laid off about 5% of its workforce in March and said it would stop paying commissions to brokers who recruit more, similar to recent moves by payers such as Oscar and Molina Healthcare.

Bright Health also plans to close a division that offers group insurance plans to employers.

Recently, bright and healthy A fine of 1 million yuan The Colorado Department of Insurance was charged with complaints about the health system’s failure to pay provider claims, communicate with members, process consumer payments and accounts accurately, and promptly process physical and behavioral health insurance claims.

The company agreed to work with the department and resolve its issues with consumers and healthcare providers.

Bright Health said it will focus on growing in 10 states, will continue to offer individual and family plans that drive value and better outcomes, and optimize its care model.

NeueHealth, a care delivery network of more than 200,000 providers, in partnership with Bright HealthCare, is expected to be a major source of future growth for Bright Health Group.

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