The Obamacare co-ops are not cooperating very well these days. The new failures among this group of cobbled together "insurers" is both leaving consumers scurrying for health coverage and, on a larger scale, raising questions about whether the state insurance exchange network can truly cultivate a competitive market.

According to the The Hill, exchanges in Ohio, Oregon, and Illinois have failed since the beginning of the year. Of the original 23 co-ops created to stimulate competition on the exchanges, only seven are now operational.

The fiscal health of the co-ops are monitored by state regulators and, as the exchange system has evolved, most haven't been able to remain viable. Without the deep pockets of the major insurance companies, the co-ops have been battered by the risk adjustment assessments of the Centers for Medicare and Medicaid Services.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.