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U.S. public health insurance exchange enrollment expected to grow in 2016 but may fall short of insurer needs

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Enrollment in public health insurance exchanges is expected to grow modestly in 2016, to reach a total number ranging from 9 to 12 million. The majority of current customers – approximately 9 million – is expected to re-enroll. However, the Congressional Budget Office earlier had projected enrollments to reach 20 million by the end of 2016; the shortfall is most significant and the projected number of enrollees likely will not be sufficient to absorb the costs invested by insurers and are said to raise potential mutualization issues for smaller insurers. However, the latter can be mitigated by proper underwriting and reinsurance policies.

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