How some Blues made the ACA work while others failed

Modern Healthcare: The individual health insurance marketplace is not a small capillary for Blue Cross and Blue Shield of Arkansas, the dominant insurer in the fourth-poorest state in the country. It's a main artery.And the good news for the Arkansas Blues is that the individual market—a “disaster” according to presidential hopeful Donald Trump—is pumping black ink, not the blood-red ink reported by some insurers selling individual plans on the Affordable Care Act exchanges across the country.The insurer, a not-for-profit mutual owned by USAble Mutual Insurance Co., captured nearly 90% of Arkansas' individual health plan market, which includes policies sold on and off the exchange as well as private-option Medicaid plans.

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