Aetna will drop out of health insurance exchanges if they are not profitable enough

[ProSense]

41. Are you saying

"Some won't be...Some will. I'll be in one of the ones that will. Many MANY states/exchanges will be. Aetna will be in those. And the mandate requires that I go through an insurance company to get health care. It makes no requirement that there be a non-profit available. Quite the opposite, it is very likely that in the small markets, there will only one or two companies at all. With a little luck, the smaller states will be able to pool their exchanges to attract more profit making companies."

...some exchanges will be profitable and "Aetna will be in those"? You said they would be in the "large markets" (http://www.democraticunderground.com/?com=view_post&forum=1002&pid=2805856), but a large market like NY will produce big savings on premiums: http://www.democraticunderground.com/10022804988

On the point of a "non-profit," you need to check the facts.

<...>

While Cigna will continue providing insurance to large businesses, it has not proposed any plans for the exchange. The member-owned Vermont Health Co-op, on the other hand, would sell insurance on the exchange, if the state approves its application for a license. The co-op has already received its federal health insurers’ license and has filed proposed rates with the Department of Vermont Health Access, but it cannot propose rates to the Department of Financial Regulation until it obtains a state license.

http://vtdigger.org/2013/04/01/state-releases-proposed-premium-rates-for-health-insurance-exchange/

New Loan Program Helps Create Customer-Driven Non-Profit Health Insurers
http://cciio.cms.gov/archive/grants/new-loan-program.html
http://cciio.cms.gov/resources/factsheets/coop_final_rule.html

And in some large markets, there are "government-run public plans"

In 2014, under the federal health overhaul law, millions of Americans will be able to buy coverage through state-based insurance exchanges. In California, government-run public plans, like the Alameda Alliance for Health, will go head-to-head with private insurance companies to compete for all those new customers, and those who run the county plans believe they can offer a robust network of doctors and hospitals to bargain shoppers looking for low-cost coverage.

http://www.democraticunderground.com/1002197452

In many states, including many of the small markets, the federal government will run the exchanges. So Aetna can play by the rules or get kicked to the curb or pack its bags and go home.