Like many insurers, Anthem says it’s had a hard time operating profitably in exchanges under the Affordable Care Act (ACA, or “Obamacare”). Unlike many insurers, it has stuck with its participation despite those woes. If the situation doesn’t improve, though, Anthem says it will probably switch gears and reconsider its offerings for 2018. The company, whose proposed merger with Cigna faces an antitrust challenge by the Justice Department, also says it would issue a request for proposals on its pharmacy-benefit business early next year. Anthem is suing Express Scripts for $15 billion in damages based on allegations that the PBM overcharged Anthem in violation of a contract that runs to 2019.
Anthem Will Look More Closely at ACA if Business Doesn’t Get Better