For the first few years, these exchanges will be open only to individuals and small businesses (limited to businesses with 50 or fewer employees or, at the state's discretion, 100 or fewer employees) purchasing health insurance. Starting in 2017, the exchanges could be open to larger companies with more than 100 employees.
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The experiences of this group will greatly influence the experience larger employers will have in the future if they choose to use the exchanges in 2017 and beyond.
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For example, some basic offerings include a single point of entry for employers, readily available information that shows how one health plan differs from another, a single application, a call center or easy-to-use Web site, and a single premium payment for each employer. He also suggests that exchanges can provide added value by providing support for wellness programs, COBRA coverage, and flexible spending accounts.
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Other states looking to create options with lower administrative overhead and greater cost efficiencies might also consider merging individual and small-business exchanges. With more members, exchanges have more clout in the marketplace and could use the resulting leverage to offer plan options that provide more value at a better cost than small businesses are used to seeing. For example, he notes that in Massachusetts the Network Health Plan with its low-overhead has accumulated 40% of total exchange enrollment.
http://businessfinancemag.com/article/creating-effective-insurance-exchanges-0221
Hat tip: Business Finance Magazine
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