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Private Exchanges Leading to Both a 'Buy-Down' and a 'Buy-Up' Effect
The Institute for HealthCare Consumerism [IHCC] Link to more items from this source
Aug. 25, 2015
"One interesting result of the advent of private exchange technology combined with a defined contribution is that when individuals are given [1] money to spend on benefit purchases and [2] a shopping experience that they can navigate, they behave like consumers. In this environment, they typically purchase less medical coverage (sometimes called the 'buy-down' effect), leaving money available to purchase other benefit options (the 'buy-up' of voluntary benefits).... As a result of this change in buying habits ... the Willis Private Exchange experience has demonstrated savings of almost $700 per employee per year."

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