All of the changes that have taken place recently in the private health care exchange market — chief among them consolidation — have raised questions as to how dedicated brokerages are to their private exchange platforms and what happens downstream after an acquisition.

Lisa Feddema, executive director at Health Care Service Corp., which operates Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas, says acquisitions, such as Towers Watson buying Liazon and Aetna buying bswift, have these companies aligning with competing brokerages, “and that can make [brokers and consultants] feel quite vulnerable.”

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