The Obama administration has acknowledged the problems that ledto the failure of many of the health insuranceco-ops that were set up as part of the PatientProtection and Affordable Care Act, and it’s taking steps to makesure the remaining co-ops don’t meet the same fate.

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In particular, the administration hopes to get back some of the$1.17 billion that it loaned to the nonprofit insurers thatshuttered. It hopes to divert that money to those that are stilloperating.

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Andy Slavitt, acting administrator for the Centers for Medicareand Medicaid Services, told a Senate committee last week that theagency was conducting diligent reviews of the co-ops finances, andthat more than three-quarters of those who had been enrolled in aco-op plan that failed had been ableto find a new insurance plan.

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The feds don’t have a lot of money to play around with for theremaining co-ops. Republicans slashed the funding available forco-ops in a 2013 budget deal from $6 billion to $2 billion. Co-opadministrators have blamed the federal government for reneging onits deal to provide them financial stability to getstarted.

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But Republicans on the Senate Finance Committee chastised theadministration, saying that the Department of Health and HumanServices was to blame for the widespread failure.

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Sen. Orrin Hatch, R-Utah, who chairs the committee, accused HHSof encouraging co-ops to produce misleading financialreports.

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"Last year, the agency issued guidance allowing co-ops to applysurplus notes to program start-up loans, which essentially allowedthe co-ops to record loans as assets in their financial filings,"he said, according to MedPage. "Quite honestly, I think I'm being generouswhen I call that kind of accounting creative. Yet, it is, as far aswe know, now the standard of practice among Obamacareco-ops."

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Sen. Ron Wyden, D-Ore, the committee’s ranking member, pushedback, arguing that Republicans had largely sabotaged the program bycutting its funding and imposing tough loan repaymentrules.

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"Congress denied the ability to move resources that would helpnew co-ops weathering growing pains to continue serving consumers,”he said.

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