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Health Insurance Exchanges

New health care storefront: now open for business.

In preparing for the new Health Insurance Exchanges or Marketplaces, you’ve added capabilities, forged relationships and worked to understand and implement new rules. Each new marketplace, or “exchange,” is designed to be a crossroads where different components of the health care system interact. A support team that understands the disparate components first hand can help you realign your core offering and boost the marketing, product, pricing and customer service capabilities you’ll need to thrive in the new market.

Deloitte’s knowledge and experience spans the health care industry, including health plans, provider organizations, life science companies, regulators and health care purchasers. We have practical knowledge of strategy, operations, technology, human capital, tax, risk, security and privacy and finance. Using proprietary tools built specifically to help address the various components of implementing exchanges, our team can efficiently conduct assessments and prepare methodologies designed to help you achieve your exchange strategy objectives.

A lasting advantage
We help you build custom roadmaps for market position, product design, pricing and distribution. Our regional and local market experience allows us to bring critical insight into the dynamics and market conditions in your region(s). As you move from strategy through execution to validation, we help you tackle the dual challenges of business and technology. We assist with program management, vendor selection and day-to-day program execution—as well as the organizational change management that accompanies a shift to a new model.

The Health Insurance Marketplaces and the plans that do business on them have different needs. The plans that use broad insight to understand their experience operating in this market can have an early and lasting advantage. We bring our extensive experience developing and delivering strategic business, operational and technology solutions to support health plan clients from Exchange readiness to ongoing support.

Potential benefits may include identifying and evaluating alternatives to participation in Health Insurance Marketplaces and creating actionable plans for ongoing participation; strategic product portfolio positioning for effective competition in new markets; strategic pricing; enabling compliance with governance processes; securing funding to support programs; and alignment of roles, metrics and other key attributes in change management.

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Paul Lambdin, Director, Deloitte Consulting LLP
Vishal Iyer, Manager, Deloitte Consulting LLP

 

As used in this document, "Deloitte" means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting.

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