A new study suggests that private exchanges are the way of the future for American health care — or at least one important way.

Approximately 6 million individuals enrolled in a health plan through a private exchange, according to an estimate by Accenture, the management consultant giant. That's double the total estimated in a similar study last year.

The trend is being largely fueled by mid-size employers with between 100 to 2,500 employees. But private exchanges haven't taken off for small employers.

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