HIX Product Management & Marketing

Although marketing to individual consumers has been the essence of the Medicare product segment, this is a whole new game with the Health Insurance Exchange marketplace.  The reformed market rules and zero-sum risk adjustment methodology is layered on top of a direct to consumer segment where most purchases are channeled through an online shopping experience.  Speakers at Healthcare Education Associates’ conferences have pointed out that the financial risk exposure of the HIX marketplace have the potential for exaggerated upsides and downsides, depending on numerous moving parts.  Not the least of these variables is the risk profile of the buyers, on the front end, and the loyalty versus churn on the back end. 


Given the new marketplace conditions, it is imperative that issuers get their sights set as accurately on their pricing and actuarial assumptions in the first place.  This Executive Research Brief from Deft Research provides some important insights into these factors.  There are some significant findings and patterns from the surveys they conducted over the first cycle of Marketplace enrollment activity. For more information on this subject, you can follow-up by checking in with Deft Research:  http://bit.ly/1lLgWBv


RISE Brings You Informative Digest of Market Insights

One of the things that RISE can do for our members is to provide market insights and analysis, as well as resources for you to pursue for further assistance.  This first publication offered by Deft Research is one example of pieces we believe our members value and want to see.  It presents a short, pointed and informed picture of what is going on in the market.  We hope you agree.  Please let us hear from you about this idea.

RISE Contact:   Kevin Mowll  kmowll@risehealth.org 831-465-2283

Tags: HIX, Marketplace, Healthcare Reform, ACA

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