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

[zipplewrath]

43. I said what I meant

Despite your repeated attempts to ignore it. Aetna was very clear in what they said. They said that if they can't get the margins they need/want, they will drop out of pursuing markets. They anticipate that this will be in markets in which they currently don't have existing pricing data. Predominately because they will rely upon "commercial" pricing in those markets. If the exchanges can form in a way that will create sufficient profit potential, they will pursue it. Smaller markets probably won't fit that business model. If they can form into larger exchanges where Aetna has sufficient pricing data, Aetna will pursue those exchanges. Small markets would do well to try to coordinate with large ones. That will reduce Aenta's risk in those exchanges and offer a better chance of attracting them to those markets.

This is the system Obama created.

Nothing in the ACA requires any exchange to have nonprofits. It does require everyone to obtain their health care THROUGH an insurance company, whether there are nonprofits available or not.