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Medical insurance imperative: Informed and empowered consumers

Health benefit exchanges (HBEs) enable transparency, facilitate enrollment of individuals and small groups, and contain the cost of healthcare. Brokers can ensure the success of insurance exchanges by disseminating information on health plans and supporting the marketing activities of payors as well as exchanges.

In a series of blogs at Healthdatamanagement.com, our expert discusses HBEs as a gateway to affordable healthcare.

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Where to focus – health exchanges or the individual market? Healthcare payors must focus their processes, products and tools on individual health plans for successful participation in state insurance exchanges.

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What will health benefit exchanges look like? In addition to real-time enrollment and reporting services, insurance exchanges must provide decision support, manage tax-deferred accounts and enable collaboration between prospective members.

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The role of brokers in health benefit exchanges: HBEs do not mark the end of health insurance brokers. In fact, brokers can play a larger role as consultants to increase the reach of insurance exchanges and coordinate activities between stakeholders.

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HIE, HIX: Are they really that far apart? Our specialist proposes combined implementation of a health information exchange (HIE) and health Insurance exchange (HIX) to reduce costs and improve operations.

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Published with the permission of Health Data Management

 

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