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Aetna ACA exit is bad for marketplace, good for Oscar: CEO Bertolini
Aetna ACA exit is bad for marketplace, good for Oscar: CEO Bertolini

Yahoo

time09-05-2025

  • Business
  • Yahoo

Aetna ACA exit is bad for marketplace, good for Oscar: CEO Bertolini

Oscar Health (OSCR) CEO Mark Bertolini has helped lead the insurance tech company into a period of consistent profitability after years of losses. The veteran health insurance executive has become an industry advocate for change, calling the existing employer-sponsored insurance market broken. He told Yahoo Finance in an interview Thursday that healthcare is the only place in the economy where individuals lack choice over decisions. "I know what my concerns are for my health, I know what I need, why am I having to go through the insurance company to get it approved?" Bertolini said. It's why Oscar has worked on accessing health services through its technology-enabled platforms. The company boasts a long-time relationship with OpenAI ( which has helped it create plans and products that are "frictionless," Bertolini said. "Those frictionless care models allow me to get what I need, on my terms, at my cost," he said. "Everywhere else in our economy, we can get that." But not in healthcare, where insurance plans are designed by employers for maximum options to cater to the diverse needs of the employee population — which raises the overall cost of insurance. Bertolini, formerly the CEO of Aetna (CVS), said this is why the narrow networks and lower cost options in the Affordable Care Act marketplace are better for individuals. And why Aetna's exit isn't good for the market. "The more players in the market, the better, in large part because everyone has narrow networks ... [which] allow you to get a lower price point, because you're moving revenue to fewer players," Bertolini said. That also helps keep insurers profitable, as it balances the number of high-cost and low-cost patients in the mix at any given time. "Our view is we don't need to get all the members," Bertolini said. "We want the members that need our products and our networks. We want to serve them well at a price point that, for the last three years, has been at or below the cost of inflation." Still, Aetna's exit bodes well for Oscar, which had "significant overlap" with them, Bertolini said on an earnings call Wednesday. "We view that as an opportunity to help people maintain their coverage at a level of pricing that we find disciplined and competitive in the marketplace," he said. Anjalee Khemlani is the senior health reporter at Yahoo Finance, covering all things pharma, insurance, care services, digital health, PBMs, and health policy and politics. That includes GLP-1s, of course. Follow Anjalee as AnjKhem on social media platforms X, LinkedIn, and Bluesky @AnjKhem.

Homeland Security terminates NDSU student's immigration status
Homeland Security terminates NDSU student's immigration status

Yahoo

time12-04-2025

  • Yahoo

Homeland Security terminates NDSU student's immigration status

Apr. 11—FARGO — The Department of Homeland Security has terminated the work status of a recent graduate from North Dakota State University, a university email confirmed. The campus email sent by Provost David Bertolini on Thursday, April 10, stated Homeland Security unexpectedly took action last Friday, April 4, against a recent NDSU graduate participating in Optional Practical Training. Optional Practical Training is a program allowing international students with F-1 student status to work in the U.S. for a period directly related to their field of study. Homeland Security terminated the student's Student and Exchange Visitor Information System, or SEVIS, status. If a person's SEVIS status is terminated, they may need to depart the U.S. immediately or apply for reinstatement, according to immigration law firm ILBSG. Bertolini's email included information from NDSU's International Student and Study Abroad Services, or ISSAS, office and Faculty Immigration Office. "Within an hour, our team became aware of the situation and immediately reached out to the student to address it," the ISSAS email said. "In light of recent national developments, we anticipate that similar situations may arise again," the email said. "Please know that ISSAS remains deeply committed to supporting, guiding, and advocating for our students — especially in moments of uncertainty." ISSAS hosted virtual and in-person town hall events this week for international students and faculty to offer support and "remind everyone that they are not alone," the message said. ILBSG, based in Illinois, reported widespread SEVIS terminations among F-1 students nationwide with no warning this week. It said the terminations are part of a large-scale effort by U.S. Immigration and Customs Enforcement to target individuals with lawful immigration status and issue revocations based on "actual or perceived criminal histories." Impacts have been felt in Minnesota, as well, with Homeland Security terminating records of at least five international students at Minnesota State University Mankato and at least three students at the University of Minnesota. Another U of M graduate student has been held at the Sherburne County Jail pending deportation proceedings and is facing additional charges from Homeland Security, not yet publicly available. At St. Cloud State University, visas for several international students was recently terminated. At Minnesota State University Moorhead, administrators said they're fielding questions and providing support to international students who are worried about their visa status. They have not reported any students impacted. A spokesperson at Concordia College in Moorhead said no international students there have had their visas revoked. An NDSU spokesperson said they did not have anyone available to provide more information.

Homeland Security terminates NDSU student's immigration status
Homeland Security terminates NDSU student's immigration status

Yahoo

time12-04-2025

  • Yahoo

Homeland Security terminates NDSU student's immigration status

Apr. 11—FARGO — The Department of Homeland Security has terminated the work status of a recent graduate from North Dakota State University, a university email confirmed. The campus email sent by Provost David Bertolini on Thursday, April 10, stated Homeland Security unexpectedly took action last Friday, April 4, against a recent NDSU graduate participating in Optional Practical Training. Optional Practical Training is a program allowing international students with F-1 student status to work in the U.S. for a period directly related to their field of study. Homeland Security terminated the student's Student and Exchange Visitor Information System, or SEVIS, status. If a person's SEVIS status is terminated, they may need to depart the U.S. immediately or apply for reinstatement, according to immigration law firm ILBSG. Bertolini's email included information from NDSU's International Student and Study Abroad Services, or ISSAS, office and Faculty Immigration Office. "Within an hour, our team became aware of the situation and immediately reached out to the student to address it," the ISSAS email said. "In light of recent national developments, we anticipate that similar situations may arise again," the email said. "Please know that ISSAS remains deeply committed to supporting, guiding, and advocating for our students — especially in moments of uncertainty." ISSAS hosted virtual and in-person town hall events this week for international students and faculty to offer support and "remind everyone that they are not alone," the message said. ILBSG, based in Illinois, reported widespread SEVIS terminations among F-1 students nationwide with no warning this week. It said the terminations are part of a large-scale effort by U.S. Immigration and Customs Enforcement to target individuals with lawful immigration status and issue revocations based on "actual or perceived criminal histories." Impacts have been felt in Minnesota, as well, with Homeland Security terminating records of at least five international students at Minnesota State University Mankato and at least three students at the University of Minnesota. Another U of M graduate student has been held at the Sherburne County Jail pending deportation proceedings and is facing additional charges from Homeland Security, not yet publicly available. At St. Cloud State University, visas for several international students was recently terminated. At Minnesota State University Moorhead, administrators said they're fielding questions and providing support to international students who are worried about their visa status. They have not reported any students impacted. A spokesperson at Concordia College in Moorhead said no international students there have had their visas revoked. An NDSU spokesperson said they did not have anyone available to provide more information.

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