"We are seeing change rapidly with the increasingly high annual maximums being offered in the market and as brokers become more aware of the true value received when members access preferred pricing for services at the dentist through network discounts provided by their insurance," says Sam Melamed.

Affordable Care Act public exchange activities would have to rely on user fees and other program revenue.

The index was designed to spark a national conversation, shine a light on the areas where Americans are falling short, and provide a roadmap for workers and employers to take action, according to IRALOGIX.