"The ability to successfully establish and administer an AHP is significantly more difficult than it is assumed to be.... The marketplace is, once again, running faster than underwriting can (or wants to) keep up.... At the end of the day, ... the key difference between AHPs and Private Exchanges is that AHPs actually are a viable product that has and will have an impact on our industry. The challenge is that, much like 2012, market interest is outpacing market abilities."