Contrary to what many Republicans claim, the Affordable Care Act is not in a death spiral, according to the Kaiser Foundation report, "Individual Insurance Market Performance in Early 2017."
While Kaiser's earlier analysis of premium and claims data from 2011 to 2016 found insurers' financial performance indeed worsened in 2014 and 2015 with the opening of the exchange markets, their performance showed signs of improving in 2016. The most recent analysis of insurers' first-quarter financial data is even more positive.
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