The reasons for the recent wave of Consumer Operated and Oriented Plan (CO-OP) failures may be open to debate, but one fact is clear: Many agents, brokers and health policy watchers have been looking for a good CO-OP status list.
Drafters of the Patient Protection and Affordable Care Act of 2010 (PPACA) created the CO-OP program in an effort to increase the level of competition in the health insurance market.
Since President Obama signed PPACA into law, the Republicans have strengthened their position in Congress, key Democratic backers of the CO-OP program have left Congress, and one of the major PPACA health insurance company support programs that CO-OP managers were counting on has performed poorly.
After the Centers for Medicare & Medicaid Services (CMS) announced that the PPACA risk corridors program, which is supposed to use cash from thriving PPACA public exchange plan issuers to help struggling issuers, might collect only enough cash to pay about 13 percent of the amounts owed to the struggling issuers, a trickle of CO-OP shutdown news gave way to a steady flow of similarly-worded shutdown notices.
One sign that more shutdown notices could be in the pipeline is that, in CO-OP reports released this summer, some of the CO-OPs that have said they are closing appeared to be stronger than some of the CO-OPs that have not released shutdown notices.
CO-OP watchers have spent time flipping between the tables in the attractively formatted CO-OP review issued by the U.S. Government Accountability Office (GAO) and a data-rich CO-OP update prepared by the U.S. Health and Human Services Office of Inspector General (HHS).
For a look at a CO-OP status table, based on the data our staff was able to find as of noon Oct. 29, read on.
CO-OP status table
Startup and solvency loan total
December 2014 enrollment*
2014 net results
|Arizona||Meritus Health Partners||Alive||93||869||5||-7.2|
|Illinois||Land of Lincoln Health||Alive; enrollment growth capped||160||3,461||14||-18|
|Iowa and Nebraska||CoOportunity Health||Dead||146||76,762||N/A||N/A|
|Kentucky||Kentucky Health Care Cooperative||Dying||146||56,680||244||-50|
|Louisiana||Louisiana Health Cooperative||Dying||66||9,980||46||-21|
|Maine||Maine Community Health Options||Alive||133||39,742||168||5.9|
|Maryland||Evergreen Health Cooperative||Alive||65||11,694||12||-15|
|Massachusetts and New Hampshire||Minutemen Health||Alive||156||1,700||2.9||-20|
|Michigan||Consumer’s Mutual Insurance of Michigan||Alive||72||11,122||15||-16|
|Montana and Idaho||Montana Health Cooperative||Alive||85.1||13,160||42||-3.5|
|Nevada||Nevada Health Cooperative||Dying||66||16,523||52||-15|
|New Jersey||Health Republic Insurance of New Jersey||Alive||109||4,254||20||-16|
|New Mexico||New Mexico Health Connections||Alive||77||14,297||32||-4.3|
|New York||Health Republic Insurance of New York||Dying||265||155,402||529||-35|
|Oregon||Oregon's Health CO-OP||Alive||57||1,582||3.8||-6.8|
|Oregon||Health Republic Insurance of Oregon||Dying||60||8,813||26||-14|
|South Carolina||Consumers’ Choice Health Insurance Company (South Carolina)||Dying||88||45,668||165||-3.8|
|Tennessee||Community Health Alliance Mutual Insurance Company||Dying||73||2,287||6.6||-22|
|Utah||Arches Mutual Insurance Company||Dying||90||22,397||53||-20|
|Wisconsin||Common Ground Healthcare Cooperative||Alive||108||26,034||124||-37|
* The CoOportunity enrollment figure is for June 30, 2014.
Sources: U.S. Government Accountability Office, GAO-15-304 Consumer Operated and Oriented Plans, and U.S. HHS OIG Actual Enrollment and Profitability Was Lower Than Projections Made By The Consumer Operated and Oriented Plans.