MDwise Marketplace to exit Indiana’s Health Insurance Exchange in 2018

6/21/2017
 
INDIANAPOLIS -- MDwise Marketplace announced today that it will not participate on Indiana’s Health Insurance Exchange in 2018 to focus on its growing Medicaid managed care business.
 
When MDwise entered the Marketplace Exchange in 2014, it did so to provide continuity to its Medicaid members who no longer qualify for Medicaid and are looking to purchase coverage on the Marketplace Exchange. Fewer members than expected have lost their Medicaid coverage and entered the Marketplace Exchange market.
 
MDwise’s decision to leave the Health Insurance Exchange was also influenced by the growing uncertainty over the future of the federally subsidized exchange. In 2016 alone, MDwise lost $21 million on its Health Insurance Exchange business.
 
The 30,800 members throughout Indiana who are covered by MDwise through the Health Insurance Exchange in Indiana are being notified of the decision to withdraw.
 
MDwise intends to focus on its larger Medicaid plans that cover 370,000 members in all 92 Indiana counties enrolled through two state programs, Hoosier Healthwise and the Healthy Indiana Plan. Care is delivered to MDwise’s Medicaid members through partnerships with eight leading healthcare delivery systems.
 
MDwise has a continuous 23-year history as a provider of Medicaid managed care plans in Indiana.
 
Consumers may contact MDwise at (855) 417-5615 for further information.

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About MDwise

MDwise is an Indiana-licensed nonprofit health maintenance organization offering health care benefits to more than 300,000 Medicaid members. Since 1994 MDwise has provided access to compassionate, high-quality, coordinated health care and education to Medicaid members in communities across Indiana.
 
MDwise is a provider-owned health plan with a large network of doctors, specialists and hospitals located throughout the state. By meeting the basic requirements of the National Committee for Quality Assurance’s (NCQA’s) rigorous standards for consumer protection and quality improvement, MDwise was awarded NCQA’s accreditation status of Accredited for service and clinical quality.

Ninety-seven percent of MDwise members surveyed would recommend MDwise to their family and friends, a rating that helped the organization earn a Bronze Stevie Award for customer service in the 2017 American Business Awards. For more information, visit MDwise.org.