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The study labeled 11 percent of plans "extra small" because they covered fewer than 10 percent of physicians in a plan's region. Another 30 percent were "small," meaning they covered between 10 and 25 percent of physicians.
Renowned New Jersey system says changing healthcare market forced the decision.
Consolidation of managed care businesses has been steady going back to 1994.
King v. Burwell is closed, but the law's long-term future still isn't ensured.
Presbyterian Healthcare Services, an integrated delivery system with eight hospitals, 700 physicians, 100-plus clinics and a 300,000-member health plan, will take on care coordination and prevention for more than 12,000 members in UnitedHealthcare's employer-sponsored plans in New Mexico.
Most organizations support the 6-3 vote to preserve federal subsidies.
Insurers can focus on optimizing individual plans with cost-comparison and provider-choice tools and value-based benefit designs, expert says.
Customers and healthcare providers are accusing Blue Cross Blue Shield companies of exploiting the franchising model to inflate premiums and unfairly control market share, according to lawsuits that threaten Anthem's M&A strategy and could empower health systems and other insurers across the country.
The King v. Burwell ruling means more than six million residents in the 34 states with federal exchanges can keep their tax subsidies for healthcare insurance under the Affordable Care Act.
The U.S. Supreme Court has dismissed the challenge to the Affordable Care Act's subsidies in federally-facilitated exchanges, a victory for the Obama Administration but certainly not the last health reform battle.