Private-sector health plans need to get in shape to effectively compete in the direct-to-consumer health insurance marketplace that will explode this fall when they begin enrolling millions of people through state health insurance exchanges. As mandated by the Patient Protection and Affordable Care Act, the exchanges start accepting enrollees on Oct. 1 and must be operational by Jan. 1, 2014. According to the Congressional Budget Office, an estimated 22 million people are expected to obtain their coverage through the exchanges by 2017.
To successfully compete for that business, private-sector health plans must offer competitive premiums, benefits and provider networks. So says McKesson Health Solutions in a new four-page white paper that outlines the steps health plans must make to thrive in the new health insurance exchange environment. The white paper says health plans must possess the following traits to be successful:
- Market agility
- Process efficiency
- And the ability to effectively manage medical costs
According to a number of news sources, of the 51 state insurance exchanges to be set up: 26 will be run by the federal government; 18 will be run by individual states, including the District of Columbia; and seven will be jointly run by the federal government and individual states. To learn more about how state insurance exchanges will work, visit www.healthcare.gov.
Source: http://betterhealth.mckesson.com/2013/03/insurance-training-regimen/
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