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Turns out the individual insurance market actually isn’t imploding, even as the Trump administration and Congress keep taking whacks at the Affordable Care Act.

What's new: A Kaiser Family Foundation analysis of individual market performance found that insurers have become profitable again in 2017 and the first half of 2018.

  • Insurers' gross margins are getting better. The margins — which measure how much their income from premiums exceeds their costs — are far higher than at any time in the history of the ACA.
  • Their second-quarter loss ratios for 2018 averaged 69%, lower than at any point since the earliest years of the ACA.

Between the lines: Premiums went up a lot between 2017 and 2018 (an average of 23% per member for the second quarter of each year).

What to watch: There are signs that the ACA population may be getting sicker — they spent more days in the hospitals than in the past 3 years. If so, that could be a sign that healthier customers are dropping out.

Go deeper

Updated 52 mins ago - Politics & Policy

Omicron dashboard

Illustration: Shoshana Gordon/Axios

  1. Health: Louisiana officials find "probable" Omicron case in cruise ship COVID outbreak — CDC director says number of U.S. Omicron cases "likely to rise" — Two years of COVID-19.
  2. Vaccines: Data demonstrates most-vaccinated counties less vulnerable to worst of COVID — Omicron adds urgency to vaccinating world — Omicron fuels the case for COVID boosters.
  3. Politics: NYC to impose vaccine mandate on private employers — Nevada to impose insurance surcharge on unvaccinated state workers — New Jersey GOP lawmakers defy statehouse COVID policy.
  4. World: U.S. announces $400M for global COVID vaccine distribution — Vaccine mandates lose steam in the U.S. while Europe doubles downWHO: Delta health measures help fight Omicron.
  5. Variant tracker: Where different strains are spreading.
Updated 1 hour ago - Health

NYC to impose vaccine mandate on private employers

New York City Mayor Bill de Blasio (D) on Monday announced a new COVID vaccine mandate for all private companies.

Why it matters: De Blasio, speaking on MSNBC's "Morning Joe," said the "first-in-the-nation measure" will go into effect starting Dec. 27. It will apply to approximately 184,000 businesses.

Dan Primack, author of Pro Rata
2 hours ago - Economy & Business

A big part of America's supply chain is for sale

Illustration: Allie Carl, Sarah Grillo/Axios

America's supply chain crisis is a series of intersecting bottlenecks, including insufficient labor and warehouse space, all driven by surging U.S. consumer behavior. But one piece has gotten short-shift on the attention meter: Chassis, the steel frames on which trucks carry shipping containers.

Driving the news: Apollo Global Management is seeking a buyer for Direct ChassisLink, the largest U.S. intermodal chassis provider, as first reported by Bloomberg and confirmed by Axios.