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It included the following statement: "The health insurance industry continued its profitability trend as it reported a (3%) increase in net earnings to nearly $25 billion but a modest decrease in the profit margin to 2.2% in 2023 compared to net earnings of $24 billion and a profit margin of 2.4% in 2022." So, its not as if major insurance companies have been struggling to make ends meet

Centers for Medicare and Medicaid Services (CMS) BALANCE Model documentation and official fact sheets