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Market Research Report

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

Published by Frost & Sullivan Product code 482533
Published Content info 104 Pages
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US Employer-Sponsored Private Health Insurance Exchange, Forecast to 2020
Published: February 28, 2017 Content info: 104 Pages
Description

eCommerce Platforms Enabling Consumer-Focused Benefit Selection

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.

Key Questions This Study Will Answer

  • What is health insurance exchange (HIX)? What are the technology features and functions that define these solutions? Who are the key vendors serving this market?
  • What are the market-shifting macro trends impacting the deployment of private HIX solutions for beneficiaries of employer-sponsored health insurance?
  • What are the specific drivers and restraints impacting the market for employer-sponsored private HIX over the next 5 to 6 years?
  • What is the 6-year outlook for revenue and enrollment growth for employer-sponsored private HIX?
  • What are the key competitive dynamics, pricing and technology trends that vendors serving the employer-sponsored private HIX market need to understand?
Table of Contents
Product Code: K05B-48

Table of Contents

1. EXECUTIVE SUMMARY

  • 1. Key Findings-Study Highlights
  • 2. Key Findings-Study Highlights (continued)
  • 3. Key Findings-Study Highlights (continued)
  • 4. Key Findings-Study Highlights (continued)
  • 5. Scope and Segmentation
  • 6. Key Questions This Study Will Answer
  • 7. Executive Summary-Market Engineering Measurements
  • 8. CEO's Perspective
  • 9. Three Companies to Watch
  • 10. Future Perspectives-3 Predictions About Private HIX

2. MARKET DEFINITIONS AND SEGMENTS

  • 1. Market Overview-Definitions
  • 2. Market Overview-Definitions (continued)
  • 3. Market Segmentation for Employer-Sponsored Private HIX

3. HIX OVERVIEW

  • 1. What is Health Insurance Exchange?
  • 2. Not Just a Website-Differences Between HIX and Insurance Point of Sale Websites
  • 3. Two Types of HIX-Public and Private
  • 4. Key Differences Between Public and Private HIX
  • 5. Two Key Types of Private HIX-Single Carrier and Multi-Carrier
  • 6. Private HIX Technology Platform-Back End Versus Front End Functions of HIX
  • 7. More About the Front End-Key Consumer Engagement Tools for HIX
  • 8. Emerging Market Differentiation Elements in Private HIX
  • 9. Benefits and Value Proposition of Private HIX

4. MARKET BACKGROUND ON EMPLOYER-SPONSORED PRIVATE HIX

  • 1. Employer Sponsored Health Insurance in the US
  • 2. Common Sales and Distribution Methods for Health Insurance Products
  • 3. Key Characteristics of Employer-Sponsored Private HIX
  • 4. Employers Trying to Figure Out Private HIX Strategies
  • 5. Pros and Cons of Private HIX for Employers

5. DRIVERS, RESTRAINTS, AND TRENDS

  • 1. Key Market Dynamics Driving the Focus on Health Insurance Exchanges
  • 2. Market Drivers-Impact and Duration
  • 3. Drivers Explained
  • 4. Drivers Explained (continued)
  • 5. Drivers Explained (continued)
  • 6. Drivers Explained (continued)
  • 7. Market Restraints-Impact and Duration
  • 8. Restraints Explained
  • 9. Restraints Explained (continued)
  • 10. Potential Impact of US 2016 Presidential Election

6. FORECAST AND TRENDS-TOTAL EMPLOYER-SPONSORED PRIVATE HIX MARKET

  • 1. Measurements
  • 2. Forecast Assumptions and Definitions
  • 3. Forecast Methodology
  • 4. Total Employer-Sponsored Private HIX Market-Enrollment Forecast (Active and Retired Employees)
  • 5. Total Employer-Sponsored Private HIX Market-Revenue Forecast
  • 6. Total Employer-Sponsored Private HIX Market-Percent Revenue Forecast by Segment
  • 7. Revenue Forecast by Market Segment
  • 8. Penetration Analysis-Total Market

7. FORECAST AND TRENDS-MARKET SEGMENTS

  • 1. Total Active Employees-Enrollment Forecast
  • 2. Revenue Forecast-Active Employees Segment
  • 3. Total Retired Employees-Enrollment Forecast
  • 4. Revenue Forecast-Retired Employees Segment

8. COMPETITIVE DYNAMICS AND VENDOR PROFILES

  • 1. Transformation in the Private Exchange Industry
  • 2. Competitive Dynamics
  • 3. Competitive Market Structure
  • 4. Aon Hewitt
  • 5. Aon Hewitt (continued)
  • 6. Array Health
  • 7. Array Health (continued)
  • 8. Benifitfocus
  • 9. Benefitfocus (continued)
  • 10. Buck Consultants-Xerox
  • 11. Buck Consultants-Xerox (continued)
  • 12. Connecture
  • 13. Connecture (continued)
  • 14. Ebix
  • 15. Ebix (continued)
  • 16. eHealth, Inc.
  • 17. eHealth, Inc. (continued)
  • 18. Empyrean Benefits Solutions
  • 19. Empyrean Benefits Solutions (continued)
  • 20. GetInsured
  • 21. GetInsured (continued)
  • 22. GoHealth
  • 23. GoHealth (continued)
  • 24. hCentive
  • 25. hCentive (continued)
  • 26. HealthPlan Services
  • 27. HealthPlan Services (continued)
  • 28. Marsh & McLennan
  • 29. Marsh & McLennan (continued)
  • 30. Softheon
  • 31. Softheon (continued)
  • 32. Willis Towers Watson
  • 33. Willis Towers Watson (continued)

9. GROWTH OPPORTUNITIES

  • 1. How to Drive Private HIX Growth?-Five Opportunities Critical for Future Success

10. FUTURE PERSPECTIVES

  • 1. Future Perspectives-3 Predictions About Private HIX
  • 2. Legal Disclaimer

11. APPENDIX

  • 1. Sources
  • 2. List of Exhibits
  • 3. Methodology
  • 4. Learn More-Next Steps

List of Exhibits

  • US Employer-Sponsored Private HIX: Frost & Sullivan Research Methodology, 2016
  • Total Employer-Sponsored Private HIX: Market Engineering Measurements, US, 2015
  • Employer-Sponsored Private HIX: Market Segmentation, US, 2015
  • Employer-Sponsored Private HIX: Market Drivers, US, 2015-2020
  • Employer-Sponsored Private HIX: Market Restraints, US, 2015-2020
  • Employer-Sponsored Private HIX: Total Enrollment, US, 2015-2020
  • Employer-Sponsored Private HIX: Total Revenue, US, 2015-2020
  • Employer-Sponsored Private HIX: Percent Revenue Forecast by Segment, US, 2015-2020
  • Employer-Sponsored Private HIX: Total Revenue Forecast by Segment, US, 2015-2020
  • Employer-Sponsored Private HIX: Penetration Analysis, US, 2015
  • Employer-Sponsored Private HIX: Active Employees* Enrollment, US, 2015-2020
  • Employer-Sponsored Private HIX: Active Employees Segment Revenue Forecast, US, 2015-2021
  • Employer-Sponsored Private HIX: Retired Employees* Enrollment, US, 2015-2020
  • Employer-Sponsored Private HIX: Retired Employee Segment Revenue Forecast, US, 2015-2021
  • Employer-Sponsored Private HIX: Competitive Market Structure, US, 2016
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