The 2014 rollout of the federal health insurance exchange (HIX) market is set to define some new limits for intrastate and interstate information transparency across insurance providers. Stemming from the Patient Protection and Affordable Care Act (PPACA), the mandate for competitive insurance platforms are possibly the largest and most controversial section of the broader approach to affordable health coverage in the United States. This market insight is part 1 in our coverage of the topic of health insurance exchanges/markets. It discusses the need for HIX, aspects across private and public HIX, as well as a market competition scheme of key companies. Also presented are benefits and concerns for carriers in terms of working with a HIX.