Salary increases for two senior executives who oversaw the implementation of Maine's once-burgeoning consumer operated and oriented plan are being scrutinized after the plan lost millions last year, leading to administrative cuts and premium hikes, according to the Portland Press Herald.
As consumer owned and operated plans (CO-OPs) around the country struggled to remain profitable amid lukewarm enrollment numbers, Maryland's CO-OP has emerged as rare beacon of stability, according to Healthcare Dive.
Although nearly half of Affordable Care Act consumer operated and oriented plans shut down, and many reported multi-million losses last year, officials say 2016 could be a rebound year for the frequently maligned plans, according to the Associated Press.
The Centers for Medicare and Medicaid Service's (CMS) top brass faced another round of pointed questioning from lawmakers regarding failed consumer operated and oriented plans (CO-OPs), targeting new evidence that the agency continued funding the failed start-ups despite signs of financial insolvency.
As the debate rages over how to handle the Affordable Care Act's flailing consumer operated and oriented plans, one failed CO-OP has sued the federal government for $5 billion for failing to make good on promised payments from the risk corridor program.
Federal regulators' refusal to amend the risk-adjustment program threatens not only the viability of small insurers, but also the survival of the Affordable Care Act itself, the CEO of a consumer operated and oriented plan wrote in an opinion piece for the Baltimore Sun.
Facing increasing pressure from lawmakers over the slew of failed consumer operated and oriented plans, the federal government recently clarified some regulations that govern the startup insurers.
The failure of many consumer operated and oriented plans and UnitedHealth's doubts about its future participation in the marketplaces aren't a significant threat to the viability of the health insurance exchanges or the Affordable Care Act, according to a new report.
Health insurer participation in state-based marketplaces has remained stable in 2016, in part because some states have encouraged competition by establishing marketplace participation rules, according to a new analysis from The Commonwealth Fund.
At a Senate committee hearing Thursday, Congress members grilled Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt about what has gone wrong with the Affordable Care Act's flailing startup health insurers.