Highmark defends its pricing
Highmark Inc. has been taking some heat lately over its pricing in West Virginia, where it has no competitors in the HealthCare.gov marketplace, according to Bidness Etc. This week the insurer came out in defense of its pricing, saying less healthy beneficiaries in West Virginia are causing steeper pricing, along with upward pressure from a limited network plan called Community Blue that Highmark owns in Pittsburgh. But researchers from Robert Wood Johnson Foundation (RWJF), a nonprofit organization that funds healthcare research, believe otherwise. "It is difficult for insurers such as Aetna/Coventry and United to compete successfully in West Virginia because they cannot contract with West Virginia hospitals at rates as low as Highmark," authors of a RWJF study say, as reported in Bidness Etc. Article
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