Top 3 Health Plan Game Changers of 2013
3.The Rise of Private Exchanges
Private HIX (created by health plans, brokers, or other groups) offer health plans more freedom than public exchanges in terms of their level of participation and the products they offer. Employers are using private HIX as a vehicle to transition employees from self-funded plans to a defined-contribution model offering, where the employer contribution to healthcare benefits is capped.
The shift means more revenue for insurers because fully insured memberships typically generate four to five times the profit contribution of self-insured memberships.
Aetna is among the insurers developing their own proprietary HIX where only its products will be offered to employers. The insurer plans to focus on population management and will allow consumers to customize products and services for their individual needs.
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
- Interventional Radiology No Longer a Sub-Specialty
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Top Reason for Nurse Turnover: Managers
- CEO Exchange: Pressure is On to Partner, Drive Quality
- House OKs Cassidy's 'keep your plan' bill
- How MA plans to re-enroll 450,000 residents in health insurance
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- 3 Strategies for Retaining Millennial Employees
- Behind the CVS Health Rebranding Strategy