Are insurers ditching PPOs?

http://www.healthcaredive.com/news/are-insurers-ditching-ppos/423291/

Insurers that have been offering PPO plans in the healthcare marketplace appear to be cutting back on the number of offerings or eliminating PPOs from the marketplace altogether, leaving consumers with fewer options. Is this becoming an industry-wide trend?

“In the large group market, traditional PPO offerings have been on the decline for the last several years as Consumer Driven Health Plans have gained popularity,” says John Greenbaum, senior vice president and employee benefits practice leader at national insurance brokerage Risk Strategies Company. “In the group market, the move has largely been driven by market concern over the now-delayed Cadillac tax.”

According to Greenbaum, insurers offering products on the public exchanges have curtailed their PPO offerings in favor of high-deductible plans. “Their motivation has been the difficulty of achieving profitability in a regulated market with no ability to underwrite the quality of risk,” he says.

Teri Mullaney, President and CEO of DST Health Solutions, says there are benefits to both payers and consumers to moving away from PPOs:

Brown & Toland leaves Pioneer ACO, declines to join Next Generation

http://www.healthcarefinancenews.com/news/brown-toland-declines-participate-pioneer-next-gen-despite-success?mkt_tok=3RkMMJWWfF9wsRonuqnJde%2FhmjTEU5z16ukvX6%2B%2Fh4kz2EFye%2BLIHETpodcMTcBmPL3YDBceEJhqyQJxPr3MLtINwNlqRhPrCg%3D%3D

Company cites upcoming program changes as reason for exiting the program, despite some success in first three years.

Sutter’s HMO expands to the Bay Area

http://www.bizjournals.com/sacramento/news/2015/09/21/sutters-hmo-expands-to-the-bay-area.html?ana=e_du_pub&s=article_du&ed=2015-09-21&u=FAuoHGaGEPdmk4X6khnaiw045b16af&t=1442883578

Sutter Health has received regulatory approval to offer its HMO in five Bay Area counties.

CaliforniaChoice small-business health exchange adds Sutter HMO

http://www.bizjournals.com/sacramento/news/2015/09/02/californiachoice-small-business-health-exchange.html?ana=e_vert_st_20150914

Sutter Health got approval from state regulators Monday to offer its HMO to small employers through the private insurance exchange California Choice.