How Trump can upend Obamacare without Congress

Just days after pulling out of Nevada in addition to also downsizing its presence in Georgia, Anthem announced Friday the item will not participate on Virginia’s Obamacare exchange in 2018.

Although Anthem was a major player in Virginia, all of the state’s counties are supposed to have at least one carrier on their exchanges next year.

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As the item has said when withdrawing coming from some other states, Anthem (ANTM) believes the Obamacare market has grown too volatile. the item remains concerned about whether the item will continue to receive the Obamacare subsidies of which reduce out-of-pocket costs for lower-income consumers. Another factor is usually the return of a tax on health insurers of which had been temporarily suspended.

“Today, planning in addition to also pricing for ACA-compliant health plans has become increasingly difficult due to a shrinking in addition to also deteriorating individual market, as well as continual alterations in addition to also uncertainty in federal operations, rules in addition to also guidance, including cost sharing reduction subsidies in addition to also the restoration of taxes on fully insured coverage,” the company said in a statement.

Related: Anthem exits more Obamacare markets

Anthem, which also offers policies under the HealthKeepers name in Virginia, is usually one of the largest players within the Obamacare exchanges nationwide. the item is usually in 14 states of which year, nevertheless has already announced the item is usually withdrawing fully coming from the exchanges in Ohio, Indiana in addition to also Wisconsin, in addition to Nevada in addition to also Virginia. in addition to also the item is usually curtailing its presence in California in addition to also Georgia.

Anthem was in 130 out of Virginia’s 134 counties or cities of which year, said Cynthia Cox, an associate director at the Kaiser Family Foundation. nevertheless a smaller insurer, Optima, plans to expand to 124 counties next year, coming from 35 right now. The remaining counties will have some other insurers on their exchanges.

Nearly 10,000 residents in 17 counties nationwide are at risk for having no Obamacare options next year, according to the Kaiser Family Foundation — many of them because of Anthem’s exits.

Related: Insurers get more time to finalize 2018 Obamacare premiums requests

Anthem is usually the third publicly traded insurer to leave Virginia, which incorporates a rather robust exchange. UnitedHealth (UNH) in addition to also Aetna (AET) pulled out earlier of which year. Anthem had wanted to raise rates in Virginia by 38%, on average.

some other insurers are supposed to downsize their involvement or to hike rates further in coming weeks. Carriers have until September 5 to revise their premium requests in addition to also until September 27 to sign contracts for 2018.

sy88pgw (fresh York) First published August 11, 2017: 5:11 PM ET