Fact Based List:

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%)

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