Disruption of the group health insurance in light of the Affordable Care Act - system approach

Abstract

Our current Healthcare system has multiple problems and it is widely perceived that it is not able to provide quality affordable healthcare to all Americans; millions of Americans are without Health Insurance. The Affordable Care Act (ACA) was signed into law to achieve goal of 'quality affordable care for all American'. The ACA has focus on Individual Health Insurance and the provision of Health Exchange Marketplaces to find and purchase Health Insurance. Disruptive Innovation is a phenomenon in which a new entrant company disrupts the existing established company. As ACA and Health Exchanges have provided level playing field for all companies - new entrants and established - will this lead to disruption of Healthcare? Disruptive Innovations is analyzed from System Approach point of view. Disruption is not limited to two companies; Disruptor System disrupts the existing system including incumbent company. Disruption will be spearheaded by new entrant Disruptor Company and disruption will take place at system level. The existing Healthcare System and Possible Disruptor Systems are defined and investigated. Relative advantage and disadvantages to these two systems with regard to ACA regulations are analyzed. Elements of the healthcare disruptor system are analyzed and information present in the public domain about Health Exchange enrolment after the end of first enrollment seasons is studied to find out who could be possible disruptor and whether disruptor system formation has started.