Changes in American political and social cultures have been tough for the healthcare insurance industry.

The passage of the ACA marked a change in public opinion: denying insurance coverage on the basis of pre-existing conditions, or charging the sick more money, were now unacceptable.

The insurance industry wanted to be on the right side of history, but the internal transitions needed to achieve near-universal coverage have been demanding.

As employer healthcare coverage transforms, and as some major hospitals start offering independent health plans, the traditional insurance industry has an identity crisis on its hands.

Many providers are pursusing new technology revenue streams, while others are downgrading core operations as many business health plans become self funded. The transitional issues run deeper than what can be explained here, but suffice it to say, today marks a time of great change for traditional insurers.

Read full article at Modern Healthcare.