Insurers’ Concerns About Participating in a Health Insurance Exchange (HIX)

1. Adverse selection (46%)
2. Ability to integrate technology with the exchange (40%)
3. Ability to charge enough to make a profit (37%)
4. Effectiveness of the risk adjustment process (36%)
5. Administrative costs of our business will rise disproportionately to the profits gained (36%)
6. Managing the movement of consumers between Medicaid and the exchanges (35%)
7. Ability to customize plans (33%)
8. Understanding the behavior and buying preferences of newly eligible consumers (25%)

Notes: Respondents were able to select up to three answers
Source: PwC Health Research Institute Health Insurer Survey, 2011
Source URL: http://www.pwc.com/us/HIX

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