Organizers of many of the new nonprofit, member-owned co-op plans could have trouble repaying federal startup loans.

Daniel Levinson, the inspector general of the U.S. Department of Health and Human Services, makes that case in a report on efforts by the Centers for Medicare & Medicaid Services to set up the Consumer Operated and Oriented Plan Program.

The drafters of the Patient Protection and Affordable Care Act provided $6 billion in co-cop startup loan funding, in the hope of creating a new type of carrier that could increase the level of competition in the commercial health insurance market, especially in communities in which one or two carriers provide most of the commercial coverage.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.