It's far from proven that nonprofit health insurance co-ops can't work. But there are clearly some big barriers that make it hard for them to succeed, despite $3.4 billion in federal financing through the Patient Protection and Affordable Care Act.  

The Washington Post reports that nearly a third of health co-ops created to offer plans on the PPACA marketplaces will be gone by the end of 2015.  

The most recent announced failures come from Colorado, Kentucky, Tennessee and Oregon, where three nonprofit insurance co-ops are slated to shutter in the coming months because their revenue can't cover the cost of claims.  

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