Nonprofit health insurance plans founded under the Affordable Care Act's Consumer Oriented and Operated Plan program are gearing up to compete with national insurers once insurance marketplaces commence operations. The founder of New Mexico Health Connections is targeting the state's lower-income population through Federally Qualified Health Centers and hopes to differentiate his plan with services that bigger plans often do not offer. Evergreen Health Cooperative, started by Howard County, Md., officials, plans to offer Baltimore-area residents a medical home model and a more traditional plan statewide.

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