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U.S. NEWS A7
                                                                                                                                      Saturday 12 March 2016

  Giant canopies                US Financial Front:
           part
                                ACA co-ops lose big in 2015; some expect 2016 profits 
of $6 billion Atlanta
airport expansions                                                                                                                                              “They are still financially

JEFF MARTIN                                                                                                                                                     fragile, though. There obvi-
Associated Press
ATLANTA (AP) — Two gi-                                                                                                                                          ously is still some risk there,
ant, translucent canopies
spanning several lanes of                                                                                                                                       as there is with any start
roadway and sidewalks
outside the domestic ter-                                                                                                                                       up business.”
minal will be among the
most visible aspects of a                                                                                                                                       Maryland’s     Evergreen
$6 billion expansion and
renovation project at the                                                                                                                                       Health Cooperative did
world’s  busiest  airport dur-
ing the next 20 years, offi-                                                                                                                                    the best of the remaining
cials announced this week.
A computer animation un-                                                                                                                                        co-ops in 2015, booking a
veiled at the Atlanta air-
port’s inaugural “State of                                                                                                                                      loss of $10.8 million. Land of
the Airport” address shows
the massive structures en-                                                                                                                                      Lincoln Mutual Health Insur-
closing the drop-off and
pickup lanes outside the                                                                                                                                        ance Co. in Illinois lost $90.8
main terminal and con-
necting the terminal to                                                                                                                                         million.
parking decks.
The canopy will protect                                                                                                                                         Maine’s Community Health
travelers from the elements
“while making a memo-                                                                                                                                           Options made $7.3 million
rable impression of the
world-class stature of At-                                                                                                                                      in 2014 but lost $74 million
lanta,” said Miguel South-
well, general manager of                                                                                                                                        last year. More than half of
Hartsfield-Jackson Atlanta
International Airport.                                                                                                                                          that stemmed from a re-
The airport also plans to up-
date the interior of the do-                                                                                                                                    serve the insurer set aside
mestic passenger terminal
and concourses and add                                                                                                                                          to cover future losses.
a sixth runway and a 400-
room hotel, officials said.                                                                                                                                     Both the Maine and Illinois
Parts of the ticketing areas
where passengers check in                                                                                                                                       co-ops say higher-than-
for domestic flights will be
“flooded with natural light”    The HealthCare.gov website, where people can buy health insurance, is displayed on a laptop                                     expected costs hurt them
when renovations are            screen in Washington. The Affordable Care Act’s health insurance co-ops absorbed deep finan-
complete, Southwell said.       cial losses last year, and 2016 is shaping up to be a make-or-break year for these nonprofit alter-                             in 2015.
Work begins on concourse        natives to traditional insurers.
renovations later this year.                                                                                                                                    Hospital and medical ex-
The project accelerates                                                                                                               (AP Photo/Andrew Harnik)
next year with work on                                                                                                                                          penses for Community
parking decks, passenger
gates and the terminal ren-                                                                                                                                     Health Options more than
ovation, officials said.
Atlanta’s airport handled                                                                                                                                       doubled to $354.7 million,
101.5 million passengers
last year, more than any        TOM MURPHY                     ACA’s public insurance ex-      cover more than 350,000                                          something CEO Kevin Lew-
other in the world, officials   AP Business Writer             changes. They will have to      people, or nearly triple their
said. q                         The Affordable Care Act’s      determine soon whether          total from 2014. Enrollment                                      is attributes in part to pent-
                                health insurance co-ops        their  businesses  can stand    is growing better than ex-
                                absorbed deep financial        on their own and compete        pected and patient popu-                                         up demand from people
                                losses last year, and 2016 is  with more established car-      lations appear to be get-
                                shaping up to be a make-       riers.                          ting younger and healthier                                       who had been waiting for
                                or-break year for these        “Plan year 2016 is a critical   in some cases. That can
                                nonprofit alternatives to      year for these co-ops —         help cut future expenses.                                        coverage in order to seek
                                traditional insurers.          they must move from start-      Plus, the co-ops are learn-
                                Officially called Consumer     up to stability and improve     ing more about their pa-                                         treatment. But that pro-
                                Operated and Oriented          their financial capabilities,”  tient population, which
                                Plans, these still-fledgling   said Kevin Counihan, CEO        can help them price future                                       gram, which aims to help
                                insurers were devised dur-     of the federal exchange         coverage to cover claims.
                                ing the ACA’s creation to      operator HealthCare.gov,        These insurers knew 2015                                         insurers pay big medical
                                inject competition into in-    during a Thursday hear-         would be ugly, accord-
                                surance markets. But they      ing held by the Senate’s        ing to Kelly Crowe, CEO of                                       bills, will end after this year.
                                have struggled from the        Homeland Security & Gov-        the trade association the
                                start to build a customer      ernment Affairs Commit-         National Alliance of State                                       Maryland’s     Evergreen
                                base from scratch and          tee.                            Health Co-Ops. But she
                                deal with higher-than-ex-      A dozen of the 23 co-ops        said last year’s numbers                                         Health should turn a profit
                                pected expenses, among         created under the law           don’t reflect where the co-
                                other problems.                have closed, and many of        ops stand today. Crowe                                           in 2016, according to CEO
                                Heading into their third full  the survivors lost well over    noted that many are grow-
                                year of operation, the co-     $20 million last year, ac-      ing methodically and add-                                        Dr. Peter Beilenson.
                                ops are adding customers       cording to recently filed       ing more stable, employer-
                                and improving their cov-       annual statements com-          sponsored coverage.                                              He said $7.3 million of Ev-
                                erage, but they also face      piled by the National Asso-     “We’re optimistic that they
                                the end of some govern-        ciation of Insurance Com-       will continue to grow and                                        ergreen’s 2015 loss came
                                ment programs designed         missioners.                     be a viable alternative for
                                to support insurers as         But the co-ops also hit         people in selecting their                                        from a payment the insurer
                                they build  business on the    a growth spurt and now          health care,” she said.
                                                                                                                                                                had to make for a federal

                                                                                                                                                                risk adjustment program.

                                                                                                                                                                That program aims to help

                                                                                                                                                                insurers with high-cost pa-

                                                                                                                                                                tients by giving them pay-

                                                                                                                                                                ments from carriers with

                                                                                                                                                                healthier patient popula-

                                                                                                                                                                tions.

                                                                                                                                                                Beilenson and other co-op

                                                                                                                                                                leaders say the formula for

                                                                                                                                                                calculating this risk adjust-

                                                                                                                                                                ment is skewed to favor es-

                                                                                                                                                                tablished insurers, and they

                                                                                                                                                                are talking with govern-

                                                                                                                                                                ment officials about adjust-

                                                                                                                                                                ing it.q
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