Posted in Affordable Care Act (ObamaCare), Consumer-Driven Health Care, Defined Contribution Benefit Plans, Economic Issues, Employer-Sponsored Health Plans, Essential Benefits under the ACA, Free-Market, Health Insurance, Health Reimbursement Arrangement (HRA), Health Savings Accounts (HSA's), Individual Mandate, Individual Market, Insurance subsidies, Medical Costs, Patient Choice, Patient-centered Care, Policy Issues, Portable Insurance, Price Tansparency, Private Exchanges, Quality, Self-Insured Plans, Small group market, State-Run Insurance Exchanges, Subsidies, Uncategorized, Uninsured

KFF.org |Examining Private Exchanges in the Employer-Sponsored Insurance Market

Prepared by:
Alex Alvarado, Matthew Rae, Gary Claxton, and Larry Levitt
Kaiser Family Foundation

Separate from the ACA, so-called “private exchanges” have also started to emerge as an option for employers
providing coverage to their workers. These private exchanges do not provide access to premium subsidies like
the public exchanges, nor do they necessarily involve standardized coverage tiers. But, they do have the
potential to reshape the employer-sponsored health insurance, which covers 149 million people, or nearly 56%
of the U.S. non-elderly population. We conducted interviews with more than fifteen private health insurance
enrollment platforms, as well as several employers and health plans moving in this direction, to create a picture
of this quickly growing landscape. We identified ten of the platforms we interviewed as full private exchanges
(based on the definition described in the next section) and have profiled those in the appendix.

Many approaches are sold as “private
exchanges” since the concept is now in
vogue. In profiling these efforts, we have
sought to define what differentiates the
new, more competitive approaches
analogous to the ACA’s public exchanges
from the traditional technology platforms
that simply provide online enrollment.
Also, what we describe here as private
exchanges are targeted at employers,
which eliminates many of the “e-brokers”
selling directly to the individual market.
Characteristics that exemplify a private
exchange include:

Examining Private Exchanges in the Employer-Sponsored Insurance Market

Author:

A primary care physician by training, my passion is researching and writing about the importance restoring patient centered care, supporting independent private physicians, promoting free-market solutions and seeking sustainable fiscal policy in healthcare.

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