Now that Centene's SilverSummit Healthplan is expanding to cover all 14 of the Nevada counties that might have had no ACA options next year, here's a compare-and-contrast with Anthem, which pulled back in June to offer coverage only in the state's three most heavily populated counties:
Anthem statement, June 28:
"Today, planning and pricing for ACA-compliant health plans has become increasingly difficult due to a shrinking and deteriorating individual market, as well as continual changes and uncertainty in federal operations, rules and guidance, including cost sharing reduction subsidies and the restoration of taxes on fully insured coverage."
SilverSummit statement, Aug. 15:
"We strive to be a responsible partner with the state and are committed to working closely with regulators and policymakers to be able to offer affordable coverage options for Nevada residents."
The bottom line: Centene faces all of the same challenges Anthem faces with the ACA markets, but it has figured out how to make the business work, largely through narrow networks and low premiums. Here's what Bob Herman wrote about the insurer earlier this summer.