Shaky Obamacare Market Adds to 'Death Spiral' Fears

  • For-profit insurers face losses after picking up co-op members
  • Anthem has largest exposure to more closures, analyst says

The Patient Protection and Affordable Care Act has helped many Americans get health insurance, including about 10 million through new markets with government subsidies, and millions more through an expansion of Medicaid, the state-federal program for the poor.

Photographer: David McNew/Getty Images
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Failing insurers. Rising premiums. Financial losses. The deteriorating Obamacare market that the health insurance industry feared is here.

As concerns about the survival of the Affordable Care Act’s markets intensify, the role of nonprofit “co-op” health insurers -- meant to broaden choices under the law -- has gained prominence. Most of the original 23 co-ops have failed, dumping more than 800,000 members back onto the ACA markets over the last two years.