Provider-owned health insurance plans are suffering from all the changes and uncertainty in the health care market, according to a special report from A.M. Best.

“Growing Pains as More Providers Set-Up Their Own Health Plans” finds that in 2016, 52 percent of such plans reported an underwriting loss. While the total population of plans in the report experienced a $1.2 billion underwriting gain in 2016, the underwriting results of that same population become a $699 million loss for the year when Kaiser Foundation Health Plan’s results are excluded.

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