A recent analysis suggesting that profitable health insurers may end up paying only about 10% into the risk-corridors program established under the Affordable Care Act than what is expected to be needed to help offset claims by carriers with poor results has renewed sticker-shock fears.

Health care consumers in some parts of the U.S. may face higher premiums next year if some insurers struggle to cover their costs and Congress continues to require that the program be self-sustaining, according to Standard & Poor’s Ratings Services.

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