The DHHS Inspector General has just issued a twenty-page report on Co-Op enrollment and financial performance: ACTUAL ENROLLMENT AND PROFITABILITY WAS LOWER THAN PROJECTIONS MADE BY THE CONSUMER OPERATED AND ORIENTED PLANS AND MIGHT AFFECT THEIR ABILITY TO REPAY LOANS PROVIDED UNDER THE AFFORDABLE CARE ACT

Two healthsprocket lists have been posted using data from the report:
Top Five Co-Ops by Enrollment - Year End 2014 (listed by state)
Co-Ops with Five Largest Net Losses for 2014 - listed by state

The stated purpose of the DHHS review: "Our objective was to determine whether enrollment and profitability met the CO-OPs’ projections on their loan applications."

What does the DHHS IG have to say, after reviewing Co-Op 2014 enrollment and financial performance, comparing it to their projections for 2014? The title of the report says it all. DHHS is a stakeholder, in that these Co-Ops are operating under loans overseen by DHHS.

Here's the core of their specific findings and concerns: "member enrollment for 13 of the 23 CO-OPs that provided health insurance in 2014 was considerably lower than the CO-OPs’ initial annual projections, and 21 of the 23 CO-OPs had incurred net losses as of December 31, 2014. Year-end net income data were not available for the Iowa/Nebraska CO-OP as the Iowa Insurance Commissioner took control of the CO-OP in December 2014 because of financial concerns. The Iowa/Nebraska COOP was liquidated in March 2015. The low enrollments and net losses might limit the ability of some CO-OPs to repay startup and solvency loans and to remain viable and sustainable. Although CMS recently placed four CO-OPs on enhanced oversight or corrective action plans and two CO-OPs on low-enrollment warning notifications, CMS had not established guidance or criteria to assess whether a CO-OP was viable or sustainable."