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An insurance counselor helps a person sign up for Obamacare in Missouri. (Charlie Riedel / AP)

Blue Cross and Blue Shield of Kansas City will not sell health plans in the Affordable Care Act individual exchanges next year. CEO Danette Wilson said Wednesday that "the uncertain direction of this market is a barrier to our continued participation." Wilson also cited $100 million of ACA losses in the first three years.

Who this will affect: The 67,000 people who bought a Kansas City Blues plan through the ACA individual marketplace or outside of it, leaving several counties in Missouri with no ACA insurers for 2018.

Why this matters: The lack of clarity from the Trump administration around the ACA's cost-sharing subsidies, with rate-filing deadlines just weeks away, is forcing insurers in several states to bail. And the departure of a Blues plan is important, since those companies often serve as the safety net.

More context: The individual market has had sicker-than-expected enrollees, but states like California and Florida still have maintained stable markets.

Go deeper

Updated 4 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

Technical glitch in Facebook's ad tools creates political firestorm

Facebook CEO Mark Zuckerberg. Photo: SOPA Images / Contributor

Facebook said late Thursday that a mix of "technical problems" and confusion among advertisers around its new political ad ban rules caused issues affecting ad campaigns of both parties.

Why it matters: A report out Thursday morning suggested the ad tools were causing campaign ads, even those that adhered to Facebook's new rules, to be paused. Very quickly, political campaigners began asserting the tech giant was enforcing policies in a way that was biased against their campaigns.

5 hours ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.