Health Insurance Exchanges Put Defined Benefits to the Test
A new whitepaper, the second in a series by analysts from Booz & Company, takes a look at the evolution of healthcare exchanges and the implications for healthcare industry stakeholders. This one focuses on how defined contributions may influence HIE development.
Ashish Kaura, a partner in the North American health practice at Booz & Company and a co-author of the white paper, says there's a "strong defined-contribution bias" in the Patient Protection and Affordable Care Act in terms of the "kinds of functionality exchanges could provide" to enable side-by-side product comparisons and advice on plan selection.
The whitepaper looks at defined contributions in single-carrier and multi-carrier private exchanges. Minoo Javanmardian, PhD, a partner in the North American health practice at Booz & Company and a co-author of the whitepaper, explains that for multi-carrier exchanges, a private exchange operator like ADP would act as a broker to sign up multiple payers to provide a range of product options in the exchange.
The operator would also serve as an intermediary between employers and insurers. In the single-carrier model the health plan offers its products directly to employers, who play more of a role in product design.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Centralizing the Revenue Cycle Protects the Bottom Line
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- CA Fines 8 Hospitals for Medical Errors
- 3 Management Lessons from a Supermarket Debacle
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Employers Weigh Risks, Benefits of Private Exchanges
- Revenue Cycles Get a Boost from Simple JPEG Files