Oliver Wyman August 22, 2024
Affordable Care Act insurers aiming to increase enrollment and have sustainable margins must sculpt provider networks to be more competitive and profitable.
Editor’s note: This is part of an ongoing series analyzing the future of the Affordable Care Act. Previous articles examined five key trends reshaping the market, the promise of Individual Coverage Health Reimbursement Accounts, what’s driving historic growth in enrollment, and the continued rise of narrow networks. This article details why and how insurers can increase network competitiveness and profitability, regardless of whether carriers offer broad or narrow networks in their product design.
As Affordable Care Act enrollment continues to reach new heights — a record 21.3 million on-exchange signups this year — insurers are challenged more than ever to...