Aetna Inc. execs remain skeptical about how the Patient Protection and Affordable Care Act public exchanges will perform at first.

New and expanded private exchange programs could get off to a faster start, and, in the group market, the success of both kinds of health insurance supermarkets could depend on how much more effective they are than traditional insurance plans at holding down rates.

Mark Bertolini, Aetna's president, and others made that point today during a conference call with securities analysts. The company held the call to review its second-quarter earnings.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.