healthcare marketplace doctor and patient
The Health Care Marketplace is, once again, evolving. Many identify this marketplace by the commonly used phrases, “Health Reform” and “Obama Care”. The pivotal moment in this transition occurred with United Health Care made the announcement that they will halt the sale of insurance to individuals and those with families through the most popular insurance exchanges previously used.
Now, the individuals that are responsible for making policies that govern the Health Care Marketplace are going to have to determine how to use the regulatory powers that they currently possess as outlined by the Affordable Care Act. This will aid in the processes of expanding and diversifying the insurance options that individuals have at their disposal.
Previously, insurance companies were coerced into a competitive market that placed a special emphasis on premiums. The Health Care Marketplace transition will now allow those same insurance companies to compete based on the product and service quality that is offered.
Additionally, this will allow these insurers to promote the most effective of risk management processes. When an insurance company are dealing with enrollees, they will need to take several steps in order to ensure the highest level of profits. These steps include:
- Insurance companies will need to become masters over rates.
- The insurers will need to design insurance plans that are focused on quality-driven care, not volume-driven care.
- Insurance companies will need to develop a standard and processes associated with the management of their network.
- The health risks of enrollees will need to be evaluated and managed.
United Health Care is a company that is known for being the absolute largest of private vendors that are offering health insurance within the entire nation. While it recently announced the possibility of removing itself from the Affordable Care Act-based exchanges, now, the company has decided to pull out of all and only remain with a select few exchange marketplaces.
This is a relatively big move. It marks the initial stages of the exchanges and their individual development. In other words, it has now coerced the administrators of the current exchange to push into a new system with a whole new round of enrollees.
healthcare marketplace
The next stage of the Health Care Marketplace will allow customers to have more information on their coverage and will allow them access to a multitude of resources that will make picking the proper health insurance easy. It will allow insurance companies to set their own premiums and to aggressively engage in the act of controlling costs.
The days of confusion, turmoil, and ambiguity – in terms of health insurance – are now over. While the changing face of the Health Care Marketplace is likely to not reveal itself 100%, we are already catching glimpses. It will take some time, but insurance coverage will now be broadened to an immense degree.
