Review of Obamacare Consumer Operated and Oriented Plans (CO-OPs)

Subcommittee on Health Care, Benefits, and Administrative Rules
Subcommittee on Health Care, Benefits, and Administrative Rules
Hearing Date: February 25, 2016 2:00 pm 2154 Rayburn HOB

0225 Obamacare Co ops

PURPOSE:

  • To question Centers for Medicare and Medicaid Services (CMS) about factors leading to the failure of over half of Consumer Operated and Oriented Plans (CO-OPs).
  • To examine whether the remaining CO-OPs are viable.

BACKGROUND:

  • CO-OPs are a type of private nonprofit health insurer established under the Patient Protection and Affordable Care Act (PPACA).
  • CMS has awarded $2.4 billion in loans to fund 23 CO-OPs, 12 of which have closed to date.
    • Loans to the 12 failed CO-OPs total over $1.2 billion.
    • Failed CO-OPs disrupted insurance for approximately 740,000 individuals and small-business employees.
  • Over half of the 11 remaining CO-OPs are on Enhanced Oversight Plans (EOPs) and/or Corrective Action Plans (CAPs).

 

Witnesses and testimonies

Name Title Organization Panel Document
Dr. Mandy Cohen MD, MPH Chief Operating Officer and Chief of Staff, Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Document
Mr. Al Redmer, Jr. Commissioner Maryland Insurance Administration Document