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It’s not big news that insurers are facing challenges turning a profit off the Patient Protection and Affordable Care Act, but a recent analysis by J.P. Morgan of the financial position of the nation’s largest companies participating in the PPACA marketplace exchange highlights the extent of the problems.

The report from the bank, which was reported on by the Wall Street Journal, found that Blue Cross and Blue Shield insurers, for instance, spent $300 million more on claims during the first three quarters of 2015 on its enrollees than it received in premiums–$20.7 billion compared to $20.4 billion.

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Jack Craver



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