Bright Health Group continued to struggle with risk adjustment calculations for the second-straight quarter as the company saw losses surge amid worse-than-expected medical costs and troubles with claims processing.
Following the release of fourth quarter earnings Wednesday, the health insurer's stock price plunged, closing down nearly 20% for the day.
"We did not deliver the financial results we had planned," Bright Health Chief Financial Officer Cathy Smith said on a call with investors. "Let me be clear: We are very disappointed in our financial results and are swiftly working to improve and provide more predictability to our results."
Bright Health struggled last year to get data on the health status of enrollees in its individual health insurance business, where people under age 65 buy coverage through government-run health insurance exchanges.
The data problem — which executives first disclosed in the company's third-quarter results — got worse during the final three months of 2021 and was compounded by emerging troubles with how the company processed claims for payment from health care providers.
Bright Health grew more quickly than it had the capacity to handle in 2021, said Mike Mikan, the company's chief executive.
"A once-in-a-century pandemic and our large group of new members without risk scores — combined with scaling up our organizational capabilities and emerging technologies — impacted our results in the fourth quarter more significantly than anticipated," Mikan said.
Bright Health sells coverage to individuals as well as seniors buying Medicare Advantage health plans.Last year, it raised more than $900 million through Minnesota's largest-ever initial public offering of stock, with shares closing on that first day of trading in June at $16.47. On Wednesday, the stock closed at $2.51.