Although a federal judge ruled last week that Molina Healthcare Inc. is owed more than $52 million under an Affordable Care Act program meant to incentivize participation in the public exchanges, the California-based insurer may not see the money anytime soon.

With one claim still pending, the case is among more than two dozen winding their way through the U.S. Court of Federal Claims, as the health care industry faces increasing uncertainty: Just two days before Judge Thomas Wheeler’s ruling in Washington, D.C., last week, Molina announced that it will exit the marketplaces in Utah and Wisconsin by year’s end. It experienced losses of $230 million in the second quarter.