ACA Cost Concerns Offer Payers a Member Engagement Opportunity

Health Payer Intelligence December 18, 2017
Thomas Beaton

Cost-conscious ACA consumers present payers with opportunities to improve member engagement and target services to improve profitability.

Consumers purchasing health insurance through the ACA exchanges are likely to actively seek out lower-cost options when enrolling or re-enrolling in individual health plans, says new data from GAO, giving payers a chance to practice their member engagement skills.

Seventy percent of ACA individual health plan enrollees manually re-enrolled into a new plan, while only 30 percent of 2016 ACA enrollees automatically re-enrolled in their health plans, indicating that payers who actively message cost-conscious plan shoppers may be able to increase their market share.

Only 39 percent of manual re-enrollees remained with their previous health plan while 61 percent switched to an entirely...

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