“Will private Exchange activity ultimately gravitate toward mostly single carrier Exchanges? Or towards multi-carrier Exchanges? Or will both models remain prevalent?”

Strong payors will lean towards single carrier exchanges as a defensive strategy to protect margins, plan choice; unbounded customer support needs and defend their direct ability to influence up-sell or cross-sell opportunities.

Most employers support multi-carrier exchanges. This option provides greater employee choice and limits untold administrative burden and associated expenses.

Consumers demand a seamless purchasing experience. When was the last time you called the ‘Google Search’ customer support line? Likely never. Why? It just works. You get where, you need to be. This digital consumerization of healthcare is driving consumer choice supported by a customer centric model.

Low income folks will edge towards public exchanges for general tax credits. Yet, other consumers will look to private exchanges for choice.

Engagement and the level of interaction with consumers either employers, employees or individuals will be the number one driver for success. Consumers expect real-time access with customer support when there are questions. Mobile and digital moments are able to capture and fuel consumer engagement building adoption. The degree that single or multi-carrier exchanges embrace consumer engagement will be a primary factor in long term success.

 

 

References

Wojcik, J. (2013). BB&T unit launches two private health insurance exchanges | Business Insurance (online image). Retrieved from http://www.businessinsurance.com/article/20131108/NEWS05/131109825

 

Reprinted from:

Nichol, Peter B. (May 2015). Thought Leader’s Corner. Health Insurance Marketplace News, Volume 3(Issue 5), pg. 7.

 

Previous article“Will the ‘Cadillac tax’ spur a major shift by large employers into private Exchanges?”
Next articleDigital Winner – BEST Mobile Platform
Peter is a technology executive with over 20 years of experience, dedicated to driving innovation, digital transformation, leadership, and data in business. He helps organizations connect strategy to execution to maximize company performance. He has been recognized for Digital Innovation by CIO 100, MIT Sloan, Computerworld, and the Project Management Institute. As Managing Director at OROCA Innovations, Peter leads the CXO advisory services practice, driving digital strategies. Peter was honored as an MIT Sloan CIO Leadership Award Finalist in 2015 and is a regular contributor to CIO.com on innovation. Peter has led businesses through complex changes, including the adoption of data-first approaches for portfolio management, lean six sigma for operational excellence, departmental transformations, process improvements, maximizing team performance, designing new IT operating models, digitizing platforms, leading large-scale mission-critical technology deployments, product management, agile methodologies, and building high-performance teams. As Chief Information Officer, Peter was responsible for Connecticut’s Health Insurance Exchange’s (HIX) industry-leading digital platform transforming consumerism and retail-oriented services for the health insurance industry. Peter championed the Connecticut marketplace digital implementation with a transformational cloud-based SaaS platform and mobile application recognized as a 2014 PMI Project of the Year Award finalist, CIO 100, and awards for best digital services, API, and platform. He also received a lifetime achievement award for leadership and digital transformation, honored as a 2016 Computerworld Premier 100 IT Leader. Peter is the author of Learning Intelligence: Expand Thinking. Absorb Alternative. Unlock Possibilities (2017), which Marshall Goldsmith, author of the New York Times No. 1 bestseller Triggers, calls "a must-read for any leader wanting to compete in the innovation-powered landscape of today." Peter also authored The Power of Blockchain for Healthcare: How Blockchain Will Ignite The Future of Healthcare (2017), the first book to explore the vast opportunities for blockchain to transform the patient experience. Peter has a B.S. in C.I.S from Bentley University and an MBA from Quinnipiac University, where he graduated Summa Cum Laude. He earned his PMP® in 2001 and is a certified Six Sigma Master Black Belt, Masters in Business Relationship Management (MBRM) and Certified Scrum Master. As a Commercial Rated Aviation Pilot and Master Scuba Diver, Peter understands first hand, how to anticipate change and lead boldly.