The Truven Health Blog

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Education Needed to Help Consumers Navigate Exchanges

By Truven Staff
Anita Nair-Hartman imageA recent Politico article discusses the dilemma insurance exchange participation represents for health insurers. Exchanges could be a great way for health plans to gain millions of newly insured members. However, the regulatory and compliance requirements -- along with underwriting and pricing challenges -- make the decision to participate more complex. In addition, the general public has little understanding of health insurance basics. The federal government has agreed to do some education to ensure consumers are ready to navigate exchanges, but health insurers need to help.

The benefits of potential new membership seem to be outweighing the risks associated with the new heavily regulated marketplace. Come October 2013, if consumers come to the marketplace, our industry will find out whether the investments worked. Regardless of the year-one experience, health plans recognize that their businesses need to change to be more consumer-centric and are investing in solutions and services to support this change.
Anita Nair-Hartman
Vice President, Market Planning and Strategy