Mike Guyette

CEO
Blue Cross and Blue Shield of Minnesota

Mike Guyette’s biggest decision in 2016 was undoubtedly his move to pare back Blue Cross and Blue Shield’s individual health insurance plans, including those offered on the MNsure exchange. Citing total losses of more than $500 million over three years in the individual market, the decision sent shock waves among supporters of Obamacare and raised questions about the public exchanges’ viability. Moving forward, Guyette’s challenge is to continue the trajectory of higher overall revenues, gains at for-profit subsidiaries and improved enrollment, which have been achieved despite the individual market’s drag on operating margins.