In recent months, the failure of several health insurance cooperatives (co-ops) in New York, Oregon, Michigan, Colorado, Iowa, and Nevada has received widespread media attention. Some have argued that co-ops have been a key part of the Affordable Care Act (ACA), that a considerable amount of federal money has been wasted around them, and that their failure is a major blow to the ACA’s viability. Also recently, United Healthcare (United), the nation’s largest insurer, announced in an investor call that it is losing money on marketplace plans, and it is considering withdrawing from many or all marketplaces in 2017.
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