From 2014 to 2015, enrollment in private exchanges doubled from 3 million to 6 million, with mid-sized employers contributing most to the increase, according to an Accenture report. Enrollment in private exchanges is projected to grow to 12 million in 2016, 22 million in 2017, and 40 million by 2018.

Some experts believe that prediction may be a little too rosy, including Paul Lambdin, director, health plan exchange practice leader at Deloitte Consulting LLP in Stamford, Connecticut.

"The adoption rate is not tearing up the employer marketplace, but I think there will be movement," Lambdin says. "Benefit managers are cautious people. It has taken 15 years for high-deductible plans to become the sole offering in 20 percent of employers, and many had predicted a more rapid adoption." 

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Katie Kuehner-Hebert

Katie Kuehner-Hebert is a freelance writer based in Running Springs, Calif. She has more than three decades of journalism experience, with particular expertise in employee benefits and other human resource topics.