Changes affecting the health insurance industry include all except:

a)	The structure of the industry has changed.

b)	The basis for competition has changed with customers using summary ratings in choosing Medicare Advantage plans.

c)	Benefit designs have changed.

d)	Revenues are expected to double by 2025 thru growth due to Medicare Advantage, Medicaid, and ACA marketplace plans.

e)	The health insurance industry is using less data to measure cost and quality.