If the processes were sound it should not matter who pays the premium on any given plan.   It appears HMSA is trying to force dialysis patients to go to less favorable govt. sponsored plans so they do have to pay out as much.  Somebody pays, in this case it would be the government (all of us in taxes and premiums) or the sickly individuals who gets less for more.   Also why advocate for patients to go off established plans to Obamacare products which will likely be short lived?

HMSA should concentrate on internal cost controls and start with their cumbersome processes.  A review of their bloated, over paid management and overhead is also in order.   Lastly, who in our ineffective State Government monitors and regulates the decisions and operations of the semi-monopoly HMSA?