US Employer-Sponsored Private Health Insurance Exchange, Forecast to 2020

US Employer-Sponsored Private Health Insurance Exchange, Forecast to 2020

eCommerce Platforms Enabling Consumer-Focused Benefit Selection

RELEASE DATE
28-Feb-2017
REGION
North America
Research Code: K05B-01-00-00-00
SKU: HC02726-NA-MR_19466
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Description

Private health insurance exchanges can be broadly defined as online gateways to health insurance, designed to provide single or multiple carrier options to consumers, setup by a private entity. The study describes and defines the market for private health insurance exchange solutions targeted towards beneficiaries of employer-sponsored health insurance; covers factors driving the adoption and deployment of these solutions in response to dynamic industry shifts; discusses key challenges impacting the market for the use of private HIX among employers; provides an overall outlook for future business and IT trends impacting the employer-sponsored private HIX market; and forecasts revenue growth and enrollment growth for the total employer-sponsored private HIX market and key market segments (active and retired employees) for the 5-year period (2016-2020). Included are profiles of 15 leading vendors serving the HIX market as well as a discussion of competitive dynamics impacting vendors today and going forward.

RESEARCH: INFOGRAPHIC

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Table of Contents

Key Findings—Study Highlights

Scope and Segmentation

Market Engineering Measurements

CEO’s Perspective

Three Companies to Watch

Future Perspectives—3 Predictions About Private HIX

Market Overview—Definitions

Market Segmentation for Employer-Sponsored Private HIX

What is Health Insurance Exchange?

Not Just a Website—Differences Between HIX and Insurance Point of Sale Websites

Two Types of HIX—Public and Private

Key Differences Between Public and Private HIX

Two Key Types of Private HIX—Single Carrier and Multi-Carrier

Private HIX Technology Platform—Back End Versus Front End Functions of HIX

More About the Front End—Key Consumer Engagement Tools for HIX

Emerging Market Differentiation Elements in Private HIX

Benefits and Value Proposition of Private HIX

Employer Sponsored Health Insurance in the US

Common Sales and Distribution Methods for Health Insurance Products

Key Characteristics of Employer-Sponsored Private HIX

Employers Trying to Figure Out Private HIX Strategies

Pros and Cons of Private HIX for Employers

Key Market Dynamics Driving the Focus on Health Insurance Exchanges

Market Drivers—Impact and Duration

Market Restraints—Impact and Duration

Potential Impact of US 2016 Presidential Election

Market Engineering Measurements

Forecast Assumptions and Definitions

Forecast Methodology

Enrollment Forecast (Active and Retired Employees)

Revenue Forecast

Percent Revenue Forecast by Segment

Revenue Forecast by Market Segment

Penetration Analysis—Total Market

Total Active Employees—Enrollment Forecast

Revenue Forecast—Active Employees Segment

Total Retired Employees—Enrollment Forecast

Revenue Forecast—Retired Employees Segment

Transformation in the Private Exchange Industry

Competitive Dynamics

Competitive Market Structure

Aon Hewitt

Array Health

Benifitfocus

Buck Consultants—Xerox

Connecture

Ebix

eHealth, Inc.

Empyrean Benefits Solutions

GetInsured

GoHealth

hCentive

HealthPlan Services

Marsh & McLennan

Softheon

Willis Towers Watson

How to Drive Private HIX Growth?—Five Opportunities Critical for Future Success

Future Perspectives—3 Predictions About Private HIX

Legal Disclaimer

Sources

List of Exhibits

Market Engineering Methodology

Learn More—Next Steps

List of Figures
  • 1. Employer-Sponsored Private HIX: Market Segmentation, US, 2015
  • 2. Employer-Sponsored Private HIX: Market Drivers, US, 2016–2020
  • 3. Employer-Sponsored Private HIX: Market Restraints, US, 2016–2020
  • 4. Employer-Sponsored Private HIX: Market Engineering Measurements, US, 2015
  • 5. Total Employer-Sponsored Private HIX Market: Revenue Forecast by Segment, US, 2015–2020
  • 6. Employer-Sponsored Private HIX: Penetration Analysis, US, 2015
  • 7. Employer-Sponsored Private HIX: Competitive Market Structure, US, 2016
  • 8. Employer-Sponsored Private HIX: Competitive Market Structure, US, 2016
List of Charts
  • 1. Employer-Sponsored Private HIX: Frost & Sullivan Research Methodology, US, 2016
  • 2. Employer-Sponsored Private HIX: Percentage Revenue Allocation by Market Segment, US, 2015
  • 3. Employer-Sponsored Private HIX: Market Engineering Measurements, US, 2015
  • 4. Respondents’ Planned Sales Channels for the Sale of Health Plans as of Jan 1, 2016
  • 5. Health Benefits Relationships in Employer-Sponsored Insurance
  • 6. Total Employer-Sponsored Private HIX Market: Total Enrollment, US, 2015–2020
  • 7. Total Employer-Sponsored Private HIX Matket: Total Revenue, US, 2015–2020
  • 8. Total Employer-Sponsored Private HIX Market: Percent Revenue Forecast by Segment, US, 2015–2020
  • 9. Employer-Sponsored Private HIX: Active Employees* Enrollment, US, 2015–2020
  • 10. Employer-Sponsored Private HIX: Active Employees Segment Revenue Forecast, US, 2015–2021
  • 11. Employer-Sponsored Private HIX: Retired Employees* Enrollment, US, 2015–2020
  • 12. Employer-Sponsored Private HIX: Retired Employee Segment Revenue Forecast, US, 2015–2021
Related Research
Private health insurance exchanges can be broadly defined as online gateways to health insurance, designed to provide single or multiple carrier options to consumers, setup by a private entity. The study describes and defines the market for private health insurance exchange solutions targeted towards beneficiaries of employer-sponsored health insurance; covers factors driving the adoption and deployment of these solutions in response to dynamic industry shifts; discusses key challenges impacting the market for the use of private HIX among employers; provides an overall outlook for future business and IT trends impacting the employer-sponsored private HIX market; and forecasts revenue growth and enrollment growth for the total employer-sponsored private HIX market and key market segments (active and retired employees) for the 5-year period (2016-2020). Included are profiles of 15 leading vendors serving the HIX market as well as a discussion of competitive dynamics impacting vendors today and going forward.
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Table of Contents | Executive Summary~ || Key Findings—Study Highlights~ || Scope and Segmentation~ || Market Engineering Measurements~ || CEO’s Perspective~ || Three Companies to Watch~ || Future Perspectives—3 Predictions About Private HIX~ | Market Definitions and Segments~ || Market Overview—Definitions~ || Market Segmentation for Employer-Sponsored Private HIX~ | HIX Overview~ || What is Health Insurance Exchange?~ || Not Just a Website—Differences Between HIX and Insurance Point of Sale Websites~ || Two Types of HIX—Public and Private~ || Key Differences Between Public and Private HIX~ || Two Key Types of Private HIX—Single Carrier and Multi-Carrier~ || Private HIX Technology Platform—Back End Versus Front End Functions of HIX~ || More About the Front End—Key Consumer Engagement Tools for HIX~ || Emerging Market Differentiation Elements in Private HIX~ || Benefits and Value Proposition of Private HIX~ | Market Background on Employer-Sponsored Private HIX~ || Employer Sponsored Health Insurance in the US~ || Common Sales and Distribution Methods for Health Insurance Products~ || Key Characteristics of Employer-Sponsored Private HIX~ || Employers Trying to Figure Out Private HIX Strategies~ || Pros and Cons of Private HIX for Employers~ | Drivers, Restraints, and Trends~ || Key Market Dynamics Driving the Focus on Health Insurance Exchanges~ || Market Drivers—Impact and Duration~ ||| Increasing healthcare costs and complexity~ ||| Impact of a wide choice of offerings in other industries~ ||| Employer-sponsored health coverage is seen as a differentiated benefit~ ||| Fringe benefits provided on private exchanges~ || Market Restraints—Impact and Duration~ ||| Lack of a clear reason to believe that transition to private exchange~ ||| Political uncertainty~ ||| Delay in implementation of Cadillac Tax Regulation~ ||| Employers are waiting for opportune~ ||| Not all private exchanges offer key metrics~ || Potential Impact of US 2016 Presidential Election~ | Forecast and Trends~ || Market Engineering Measurements~ || Forecast Assumptions and Definitions~ || Forecast Methodology~ || Enrollment Forecast (Active and Retired Employees)~ || Revenue Forecast~ || Percent Revenue Forecast by Segment~ || Revenue Forecast by Market Segment~ || Penetration Analysis—Total Market~ | Forecast and Trends—Market Segments~ || Total Active Employees—Enrollment Forecast~ || Revenue Forecast—Active Employees Segment~ || Total Retired Employees—Enrollment Forecast~ || Revenue Forecast—Retired Employees Segment~ | Competitive Dynamics and Vendor Profiles~ || Transformation in the Private Exchange Industry~ || Competitive Dynamics~ || Competitive Market Structure~ || Aon Hewitt~ || Array Health~ || Benifitfocus~ || Buck Consultants—Xerox~ || Connecture~ || Ebix~ || eHealth, Inc.~ || Empyrean Benefits Solutions~ || GetInsured~ || GoHealth~ || hCentive~ || HealthPlan Services~ || Marsh & McLennan~ || Softheon~ || Willis Towers Watson~ | Growth Opportunities~ || How to Drive Private HIX Growth?—Five Opportunities Critical for Future Success~ | Future Perspectives~ || Future Perspectives—3 Predictions About Private HIX~ || Legal Disclaimer~ | Appendix~ || Sources~ || List of Exhibits~ || Market Engineering Methodology~ || Learn More—Next Steps~
List of Charts and Figures 1. Employer-Sponsored Private HIX: Market Segmentation, US, 2015~ 2. Employer-Sponsored Private HIX: Market Drivers, US, 2016–2020~ 3. Employer-Sponsored Private HIX: Market Restraints, US, 2016–2020~ 4. Employer-Sponsored Private HIX: Market Engineering Measurements, US, 2015~ 5. Total Employer-Sponsored Private HIX Market: Revenue Forecast by Segment, US, 2015–2020~ 6. Employer-Sponsored Private HIX: Penetration Analysis, US, 2015~ 7. Employer-Sponsored Private HIX: Competitive Market Structure, US, 2016~ 8. Employer-Sponsored Private HIX: Competitive Market Structure, US, 2016~| 1. Employer-Sponsored Private HIX: Frost & Sullivan Research Methodology, US, 2016~ 2. Employer-Sponsored Private HIX: Percentage Revenue Allocation by Market Segment, US, 2015~ 3. Employer-Sponsored Private HIX: Market Engineering Measurements, US, 2015~ 4. Respondents’ Planned Sales Channels for the Sale of Health Plans as of Jan 1, 2016~ 5. Health Benefits Relationships in Employer-Sponsored Insurance~ 6. Total Employer-Sponsored Private HIX Market: Total Enrollment, US, 2015–2020~ 7. Total Employer-Sponsored Private HIX Matket: Total Revenue, US, 2015–2020~ 8. Total Employer-Sponsored Private HIX Market: Percent Revenue Forecast by Segment, US, 2015–2020~ 9. Employer-Sponsored Private HIX: Active Employees* Enrollment, US, 2015–2020~ 10. Employer-Sponsored Private HIX: Active Employees Segment Revenue Forecast, US, 2015–2021~ 11. Employer-Sponsored Private HIX: Retired Employees* Enrollment, US, 2015–2020~ 12. Employer-Sponsored Private HIX: Retired Employee Segment Revenue Forecast, US, 2015–2021~
Author Nancy Fabozzi
Industries Healthcare
WIP Number K05B-01-00-00-00
Is Prebook No