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From Kaiser Health News:

Kaiser Health News Original Stories

2. Need Exercise? Go To The Mall

Health officials want shopping malls to be fitness centers for seniors. Level surfaces, a safe environment and plenty of places to stop and rest make an ideal place for walking. (Anna Gorman, 4/20)

Summaries Of The News:

Health Law Issues And Implementation

5. UnitedHealth To Exit All But A Few ACA Markets

The insurer's exchange business was relatively small, but the move draws attention to the industry's struggle to adjust to the sicker, more costly pool of customers that have dominated the market under the Affordable Care Act.

The New York Times: UnitedHealth To Pull Back From Insurance Exchanges, Citing Losses
The UnitedHealth Group, one of the nation’s largest health insurers, told investors on Tuesday that it continued to lose hundreds of millions of dollars selling individual policies under the federal health care law. The company said it planned to pull out of a majority of states where it offered coverage and would offer policies on the public exchanges in “only a handful of states” for 2017. (Abelson, 4/19)

The Wall Street Journal: UnitedHealth Tops Expectations, To Leave Some Affordable Care Act Markets
After losses on the exchanges, UnitedHealth Group Inc. will pare its presence from 34 states this year to “only a handful” in 2017, said Chief Executive Stephen J. Hemsley during the company’s first-quarter earnings conference call Tuesday. Mr. Hemsley said that the “smaller overall market size and shorter-term, higher-risk profile within this market segment continue to suggest we cannot broadly serve it on an effective and sustained basis.” UnitedHealth also steepened its projected loss on the 2016 exchange business to $650 million from around $525 million, amid signs that new enrollees’ health status appeared worse. (Wilde Mathews, 4/19)

The Wall Street Journal: UnitedHealth: Who Needs Obamacare?
UnitedHealth said in the fall it expects to lose more than $500 million this year on plans sold on public exchanges. But those are a small part of UnitedHealth’s business. And, since the insurer booked most of those expected losses last year, these exits mean that shareholders can cross a worry off their list. No wonder the stock is handily outperforming major indices this year. These days, peace of mind doesn’t come cheap. The shares trade at 16 times forward earnings; well above historical norms for a health insurer. The dividend yield on the shares lies well below 2%. (Grant, 4/19)

Kaiser Health News: UnitedHealthcare To Exit All But ‘Handful’ Of Obamacare Markets In 2017
UnitedHealth’s plan to dramatically curtail involvement in the exchanges would severely limit competition in parts or all of about 10 states — mostly in the South and Midwest, according to an analysis from the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) That could mean higher premiums for consumers in states and counties left with only one or two insurers, unless another company enters those markets. Oklahoma and Kansas would be left with only one insurer if UnitedHealthcare pulls out. (Galewitz, 4/19)

Reuters: UnitedHealth's Obamacare Exit Adds Pricing Pressure On Rivals
UnitedHealth Group Inc's decision to exit most of its Obamacare health insurance exchanges next year means rivals will need to raise prices further to prop up an unprofitable business, healthcare analysts and policy experts said on Tuesday. The largest U.S. health insurer's move would likely reduce consumer choices, particularly in states where UnitedHealth has been one of only a handful of players to offer insurance under President Barack Obama's healthcare law, they said. (Humer, 4/19)

Bloomberg: UnitedHealth Group To Exit Affordable Care Exchanges In All But A 'Handful' Of States
The Obama Administration attempted to downplay any departures from UnitedHealth. "We have full confidence, based on data, that the Marketplaces will continue to thrive for years ahead. The number of issuers per state has grown year-over-year," Health and Human Services spokesman Ben Wakana said in a statement released Monday morning. "The Marketplace should be judged by the choices it offers consumers, not the decisions of any one issuer." (Johnson, 4/19)

Politico: Insurer’s Obamacare Exit Raises New Concerns Over Law
The company’s startling losses cast a spotlight on problems that insurers have been warning about for months: Fewer Americans have signed up for the exchanges than predicted, enrollees have proved to be sicker and more costly than anticipated, and losses are mounting. UnitedHealth’s exit may be more of a symbolic blow to the law than anything — the company is still profitable, and its exchange business was relatively small. But it poses a fresh headache for the White House ahead of the fall sign-up period for 2017 health plans, the final enrollment season under the Obama administration. The White House is scrambling to set the insurance marketplaces on firm footing before it leaves office. (Demko, 4/19)

The Associated Press: UnitedHealth Ups 2016 Outlook After Surprisingly Strong 1Q
UnitedHealth hiked its 2016 forecast after the nation's largest health insurer topped Wall Street's first-quarter earnings expectations. The Minnetonka, Minnesota, company now expects annual adjusted earnings ranging from $7.75 to $7.95 per share. That's up 15 cents from when it last reaffirmed its outlook in January. (Murphy, 4/19)

Georgia Health News: Study Says United Exit Will Hurt Some Exchange Enrollees
Thirty of Georgia’s 159 counties will be left with just one insurer in the state insurance exchange when UnitedHealthcare exits the exchange next year, a new study says. Another 47 Georgia counties will go from having three exchange insurers to two, according to the study, released Monday by the Kaiser Family Foundation. (Miller, 4/19)

6. Arkansas Senate To Take Up Bill At Center Of Strategy To Save Medicaid Expansion

The bill has a provision to sunset the state's Medicaid expansion program, but the governor has pledged to use his line-item veto on that measure, thus insuring the program will be funded and continue.

The Associated Press: Arkansas Lawmakers Advance Plan To Save Medicaid Expansion
Arkansas lawmakers broke a stalemate over the state's hybrid Medicaid expansion Tuesday after Democrats acceded to an unusual plan that'll require them to initially vote to end the subsidized health insurance for thousands of poor people. The Joint Budget Committee endorsed a Medicaid budget bill that includes a provision ending the program, which uses federal funds to purchase private insurance for the poor, on Dec. 31. Republican Gov. Asa Hutchinson has said he'll veto that provision, which would allow lawmakers to effectively fund the expansion by upholding his decision with a simple majority vote. (DeMillo, 4/19)