Nearly half of the 17 state-run public health insurance exchanges are suffering financial difficulties with the chief culprits being high expenses and tepid enrollment, which rose just 12% compared with compared to a 61% increase for Healthcare.gov.

Several solutions are being pondered, says the report The Washington Post, including higher fees imposed on insurers that participate in the HIX marketplace, cost-sharing with neighboring states, calls for more funding and even switching to Healthcare.gov.

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