Major health insurance companies are once again suggesting that they will not be able to continue participating in the Patient Protection and Affordable Care Act (PPACA) marketplace if the system doesn't become more profitable.

UnitedHealthcare, the country's largest private insurer, warned last year that 2016 was the PPACA's last chance to prove itself profitable for insurers.

Unless premiums begin to exceed the claims made by marketplace enrollees, the insurance giant said it would leave the system. It already made good on that threat in Georgia and Arkansas, announcing that it would not be offering plans on those states' insurance exchanges next year.

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