The Truven Health Blog

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By Truven Staff

Health Plan Support of the Newly Insured

Anita Nair-Hartman imageA recent Kaiser Health article discusses the premiums consumers will face in the new public exchanges. There has been much market focus and press on the rates that consumers will be charged and the potential impact to enrollment. Although this is an important topic, equal attention should be focused how we will manage these newly-insured consumers. From research that Truven Health completed earlier this year titled, Coverage Expansion Under the ACA: Challenges for Government, Health Plans, and Providers, we know that there is limited information in the market on this subset of consumers.

Our research indicates that these newly insured will be less healthy, currently use services at a lower rate, and have gone long periods without coverage due to insurance cost. All of this research suggests that the newly insured will most likely have service needs that they have deferred and will present challenges for the health plans who cover them. It will be critical that health plans support these new consumers with tools and services to help them understand and navigate their new health care coverage. As we have noted in the past, consumers who have more information are able to make wiser decisions about their healthcare choices. And this leads to improved quality, lower costs, and higher satisfaction with their health plan and exchange.

Anita Nair-Hartman
Vice President, Market Planning and Strategy
Categories: Health Plan