Wolters
Kluwer Law & Business News Center
Six Million Employees Enrolled Via Private Exchanges In 2015
April 21, 2015
by Wolters Kluwer Law & Business
An estimated 6 million people enrolled in private health insurance exchanges
for their 2015 employer benefits, according to a recent report from Accenture.
These findings show private health insurance exchanges—an online marketplace for
people to choose their employer-sponsored benefits—doubled enrollment this year,
up from 3 million in 2014.
Accenturefs findings show midsize employers, defined as companies with 100 to
2,500 employees, contributed most to the increase in the adoption of private
health exchanges.
Based on its research, Accenture forecasts that enrollment in private health
insurance exchanges will grow to 12 million in 2016 and 22 million in 2017. As
previously forecasted, Accenture expects total enrollment in private exchanges
to ultimately surpass state and federally funded exchanges, reaching 40 million
by 2018.
gWe remain optimistic that several factors will catalyze enrollment growth in
private health insurance exchanges through 2018, said Rich Birhanzel, managing
director for Accenture Health Administration Services. gThis is especially true
as the market matures, employers gain more control of benefit design and
evidence continues mounting on the tangible benefits of the model.h
Other Accenture findings on the factors driving enrollment growth in private
health insurance exchanges are as follows:
• Many employers did not drop coverage in 2015, as initially forecasted. In
fact, an Accenture survey shows 76 percent of consumers with employer-sponsored
coverage see health insurance as a primary factor for continuing to work at
their current employer, limiting some employersf ability to drop or defund
health coverage. As employers seek a compelling alternative, private exchanges
will emerge for some as a compelling model to reduce costs and administrative
burden.
• Private exchange enrollment is expected to accelerate in 2017 due to
looming penalties for gCadillach plans. This provision of the Patient Protection
and Affordable Care Act (ACA) places a 40 percent excise tax on high-cost
employer health plans beginning in 2018. Research estimates that 38 percent of
large employers (those with more than 2,500 employees) and 17 percent of
American businesses overall will face those penalties in 2018 if action is not
taken prior.
• Market funding is growing. Continued investments by exchange sponsors in
private exchange technology solutions, such as Aetnafs acquisition of bswift and
Mercerfs equity investment in Benefitfocus, are expected to drive market
maturity and scalability.
• The number of large employers who have been on the fence in determining
whether to adopt private health insurance exchanges is expected to drop over the
next two years due to looming mandates and a maturing market.
• Compliance burden for employers accelerates. Accenture expects that
increased compliance requirements mandated by the ACA, HIPAA and ERISA will
drive employers to adopt new models for managing benefits administration.
For more information, visit http://www.accenture.com/us-en/Pages/insight-private-health-insurance-exchange-annual-enrollment.aspx.