Managers of the ACA CO-OPs that survived in 2017 have argued that the risk-adjustment program rules discriminate against smaller, newer, cheaper plans.(Photo: Getty)

Ongoing problems with the Affordable Care Act risk-adjustment program have pushed two of the last remaining Consumer Oriented and Operated Program carriers into receivership.

The Maryland Insurance Administration has put Evergreen Health Inc. into receivership and, apparently, given up on the idea that investors might buy its assets. That CO-OP carrier has about 25,000 enrollees.

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