Alaska's premiums are outrageous because of one simple thing.  Hospital systems in AK charge up to 600% than they receive under the Medicare reimbursement rates... Why is this; because with the ACA policies having NO annual and NO Lifetime maximum, there is zero cost containment.   In 2009, individual policies in Alaska were within 75.00 of a similar plan in Seattle.   Now they are 200% more... Force the non profits to open their books and maybe they can then explain why Providence has over 4000 employees... in a town of 280,000.....