Trends Impacting Public or Private Exchanges Surfacing in 2016 That Were Not Previously on People’s Radar?”

Talent retention and financial performance shifting to corporate social responsibility expanded to include security will be the unassuming spotlight for exchanges in 2016.

Talent Retention

While performance was replaced with value in 2015, nothing replaces good employees who leave. “All employees are replaceable,” is the big lie executives repeat with a chilling cadence. Walk into any company and its quite evident that individuals drive change, innovation and transform organizations. Processes, policies and standards line the desks of the people doing the actual work. As demand for great talent increases in 2016, Exchanges will be required to focus considerably more effort, managing top performers and building employee morale. It will be reported as compassionate, empathetic, and acknowledgement of the need for a better work-life-balance; however, it’s corporate self-preservation. Exchange leadership, both public and private, knows that great employees are fueled by purpose, mastery and autonomy. Heading into 2016 leading Exchanges will focus on building passion around mission, providing opportunities for knowledge growth, and offering flexibility with employee friendly programs encouraging deeper employee engagement. Companies must either meet the expectations of top resources or be in the business to replenish them.

Security and Corporate Social Responsibility

The issue of Corporate Social Responsibility can be framed with one question: Does society hold leaders legally accountable for ethical decisions that attack the privacy, security and health of citizens? The threat of legal action ultimately holds leaders accountable for unethical decisions that harm society. However, the threat of legal action is not enough. We first have to redefine value creation as not only financial performance but include the impact to natural resources, our customers, our suppliers and more importantly the economic distress of the communities which produce our products. This couldn’t be more true than when considering the impact of patient and consumer security in the healthcare industry.

Patients suffered repeated blows from payers and providers in 2015 by failing to protect patient and member information; Excellus Blue Cross and Blue Shield with 10 million affected (USA Today), UCLA Health with 4.5 million (NPR), CareFirst with 1.1 million (NY Times), and Premera Blue Cross with 11 million (Forbes) affected to name a few.

We trust payers, provider, and agencies to protect our personal information. When controls fail, the reason rarely matters to those impacted. That trust we spoke of earlier, well that won’t be earned back. Now ask patients to contribute their medical information for the betterment of population health – good luck.  When are we going to hold individuals personally accountable in healthcare for security? Only when this happens will we see a shift in urgency and immediacy of action as financial responsibility expands to envelop corporate social responsibility that includes corporate security.

One out of three individuals will have their healthcare records exposed by cyberattacks in 2016, reported Lynne Dunbrack, research vice president for IDC Health. Patients will demand protection in 2016 and individual accountability of those responsible for the protection and safety of patient data.



hamptonroadschamber. (2014). Bills On Our Radar (online image). Retrieved January 15, 2016, from


Peter Nichol, empowers organizations to think different for different results. You can follow Peter on Twitter or on his blog. Peter can be reached at pnichol [dot]

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Peter is a technology executive with 19 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 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.