What keeps health insurers up at night regarding PPACA (and how they can go from insomnia to Rip Van Winkle!)

The Patient Protection and Affordable Care Act (PPACA), aka ObamaCare, is going into effect on January 1, 2014, with health insurance exchanges (HIX) slated to open on October 1, 2013. When we polled health insurance executives recently about what keeps them up at night regarding PPACA, they ranked reaching and acquiring new customers as the top concern (40%), followed by answering consumer questions about eligibility, policies, and procedures (23%), and scaling customer service cost-effectively over time (23%). These challenges also represent opportunities—insurance carriers and hybrid carrier-providers that leverage…