Mark Bertolini says the current program pushes good risks out of the market. (Photo: iStock)

The Affordable Care Act risk-adjustment program is working so poorly that it’s pushing individuals and small groups that have alternatives out of the ACA-compliant coverage market, according to Mark Bertolini.

The ACA now requires insurers to sell individual and small-group health coverage on a guaranteed-issue basis, without shutting out sick people or charging them more for coverage. The ACA risk-adjustment program is supposed to help keep the issuers from ending up with more than their fair share of sick people. Program managers are supposed to use cash from carriers with healthier enrollees to help carriers with sicker enrollees.

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