Those in the fast-growing private health insurance exchange business have some work to do to overcome doubts about how much money they'll end up saving employers.

That's one of the more sobering tidbits to come out of a survey of more than 700 employers of all sizes and in a variety of industries.

The good news is that the survey found that 45 percent of the responding employers plan to consider or will be using a private exchange before 2018.

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