From Insurance Business America:

Health insurance companies are getting more concerned about the financial sustainability of the Affordable Care Act.

As insurers prepare to file more premium increase requests for the next open enrollment season, a number of their most senior executives have been voicing reservations about the marketplaces and publicly considering dropping out altogether.

“Something has to give,” Larry Levitt, an ACA expert with Kaiser Family Foundation, told The Hill. “Either insurers will drop out or insurers will raise premiums.”

The news comes on the heels of a report from the Blue Cross Blue Shield Association that suggests new enrollees under the ACA have 22% higher medical costs than people who receive coverage from employers.

Another analysis from McKinsey & Company found that, perhaps due to those conditions, insurers lost money in the individual markets of 41 states in 2014 and were only profitable in 9 states.

While many analysts still believe…