After the U.S. Department of Health and Human Services (HHS) issued a framework yesterday to assist states in building the health insurance exchanges due to open in 2014, the question of how issuers will ready themselves for these changes remains open.

A new report published today by the PwC U.S. Health Research Institute (HRI), examines what changes insurers need to make from an operational perspective if they wish to participate successfully in state health insurance exchanges. The report, "Change the Channel:  Health Insurance Exchanges Expand Choice and Competition," surveyed 1,000 consumers and 153 health insurance executives concerning their expectations around health insurance exchanges.

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