September 2014

What the Heck is a Public vs. Private Exchange?

Recently I wrote about health insurance exchanges and after introducing the many different kinds that any one consumer or business may encounter, I was asked to dive a little deeper and differentiate between public and private exchanges. There is no clear winner when it comes to defining an “exchange” to begin with. One resource states it is “a place for buying and selling, typically open only to members.” Another says it’s “a store or shop specializing in merchandise usually of a particular type.”  So it’s not surprising that further differentiation is even more difficult.  Google “public or private exchange” and…
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  • Added: September 30, 2014

What the Heck is an Exchange?

I received an email this week wherein the writer asked for help understanding what a health insurance exchange is, specifically, the differences and similarities between state, federal and private exchanges. My answer was “it depends on who is asking and who is answering.” The word exchange has been bandied about in many circles, by many different people, and with great frequency since the Patient Protection and Affordable Care Act was signed into law in 2010. Most of us act as if we know exactly what it means when, in actuality, the meaning is determined by the person using the term…
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