Government Watch

This Obamacare Co-Op Was Supposed to Make Money, Instead, It Lost Over $15 Million

health-insurance-formFrom – – By – Melissa Quinn

A Nevada health insurance provider that received more than $65 million in taxpayer-funded loans from the federal government announced last week that it is discontinuing operations at the end of the year.

The Nevada Health Co-Op will close its doors beginning Jan. 1 because of “challenging market conditions.” The co-op will be the third of the 23 consumer-oriented and operated plans created under Obamacare to shutter.

“It is with deep sadness that based on challenging market conditions, the board made a painful decision to wind down operations of the Nevada co-op at the end of this year,” Stacey Hatfield, a member of the co-op’s board, said in a statement. “Rather than spending resources on next year’s uncertain market, we would rather make sure we protect our current members. This is all about providing the most affordable, effective health insurance and service possible.”

Co-ops were created under Obamacare to foster competition in areas where few carriers offered plans. The Nevada Health Co-Op was created in 2012 along with 22 others serving 26 states. They began providing insurance coverage in 2014, with Obamacare’s first open enrollment period.

The 23 co-ops received $2.5 billion in loans from the Centers for Medicare and Medicaid Services to help get off the ground and remain solvent. The federal government awarded the Nevada Health Co-Op $65.9 million in startup loans. It’s unclear whether the co-op will be able to repay the loans.

According to the Nevada Health Co-Op, it enrolled 14,000 consumers in 2014. However, the nonprofit insurer projected it would enroll 33,748, according to a July audit of co-ops from the Department of Health and Human Services inspector general.

The analysis from the Department of Health and Human Services also found that the Nevada Health Co-Op projected that it would make $371,000 in 2014. However, it lost more than $15 million.

“The biggest problem that they’ve got is that they can’t raise the capital they need to sustain initial operating deficits,” Ed Haislmaier, a senior research fellow in health policy at The Heritage Foundation, told The Daily Signal. “The government created the nonprofit cooperatives in such a way that there’s just no way for the cooperatives to get access to capital other than a government loan or subsidy.”

The Nevada Co-Op was not the only nonprofit insurer to lose money in 2014. Of the 23 co-ops started in 2012, just one—Maine Community Health Options—was profitable. Additionally, 13 of the 23 co-ops enrolled significantly fewer consumers in 2014 than projected.

“They’re constrained,” Haislmaier said of the co-ops. “It was a badly done attempt to reinvent the wheel with some genius deciding to make it oval instead of round.”

The co-op will continue providing coverage to its customers through the end of the year, but customers will have to purchase coverage from other health insurance companies for 2016. The Nevada Health Co-Op will continue to pay customers’ medical claims.

In addition to Nevada’s nonprofit insurer, two other co-ops created under Obamacare announced they would be discontinuing operations.

Last month, the Louisiana Department of Insurance announced that the Louisiana Health Cooperative would be closing its doors at the end of 2015. The Louisiana co-op received $65.8 million in taxpayer-funded loans from the Centers for Medicare and Medicaid Services.

In March, CoOportunity Health was liquidated after it reported higher medical claims than anticipated. The Centers for Medicare and Medicaid Services awarded CoOportunity with $145 million in loans.

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6 years ago

What a surprise! … So, “It’s unclear whether the co-op will be able to pay back the loans.” … Wow, just ANOTHER $65 million dollars of taxpayer monies down the drain. In fact, the article states that ONLY 1 of 23 state exchanges made a profit and another 2 exchanges will be closing their doors with the new year. … THE UNAFFORDABLE CARE ACT aka OBAMACARE is not only UNCONSTITUTIONAL but in reality, is A HUGE DISASTER!!! … COMMUNISM failed in Russia and COMMUNISM WILL FAIL HERE! … and all at the expense of We the People! … Thanks, Democrats!

6 years ago
Reply to  Rik

Yet Obama continues to say Obamacare is a success!!! He will never admit it’s NOT working for the MIDDLE CLASS who HAD affordable healthcare BEFORE this UNaffordable healthcare system was implemented. It’s only a success foe people who don’t have to pay for it out of their pockets.

There are going to be a lot of shocked people who receive subsidies when they find out they can no longer afford their plans when subsidies expire. Republicans need to remind people NOW that REPUBLICANS DID NOT have any input into Obamacare. People have a very short memory, if they were even INformed in the first place, that Obamacare was designed by DEMOCRATS ONLY.

Ivan Berry
6 years ago
Reply to  HAM

And our Caesar Obama Osama piddled while Home burned, as he intended all along. His has been about the most successful Administration in getting what he wanted, and in fundamentally changing America and leading to ultimate distruction. Nero fiddled; Obama piddled (and continues his piddling to this day), while our Congress continues to sit on their hands. Boy have the American voters been stupid.

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