Getting a ‘private exchange’ health plan

Much of the hubbub in health-care reform these days centers on the creation of public health insurance exchanges in compliance with the Affordable Care Act. But another, potentially groundbreaking shift is under way in the private sector, with the formation of so-called private exchanges. For workers in their 50s and 60s who are able to hang on to employer-based coverage, the exchanges could provide a way to keep out-of-pocket health costs from escalating.