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New Analysis: With Proper Support, the ACA Marketplaces Are Sustainable in Long Run

Health insurers financial performance in 2015

If the ACA manages to survive and the administration is willing to enforce its key provisions, evidence suggests the insurance marketplaces are “inherently sustainable in the long run,” a Commonwealth Fund report finds. Based on their analysis of health plans’ financial performance in 2015 — the most difficult year to date for the ACA’s insurance exchanges — Virginia Commonwealth University’s Michael J. McCue and Wake Forest University School of Law’s Mark A. Hall find that insurers in the top quarter of the individual market were comfortably profitable, even if those in the bottom quarter did much worse than the ACA market average.

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