HealthPlan Services™ (HPS) is maintaining its lead as the race to open Insurance Marketplaces nears the home stretch. In July, we successfully completed point-to-point transaction testing of our Go-To-Exchange™ platform with the Federally Facilitated Marketplace and several State-Based Marketplaces—a milestone few others have achieved.
As one of just five companies (and the only non-health plan) selected by CMS to participate in its “Early Adopter” program, HPS was among the first Marketplace participants allowed to test with the federal government. Thus, while some health plans are still gearing up, we have already completed initial connectivity testing between our Go-To-Exchange Platform and CMS, including transactions specific to our carrier partners.
A precursor to user tests with real data, point-to-point tests demonstrate that the Go-To-Exchange platform’s technical connections and file formats are compatible with state and federal insurance Marketplaces. In addition to the Federally Facilitated Marketplace, Go-To-Exchange has successfully tested enrollment transactions with Covered California, Connect for Health Colorado and Maryland Health Connection.
Testing is now underway with actual enrollment data, which will be the first transactions that take place beginning Oct. 1 when Marketplaces officially opens for business. Completion will mark another significant milestone, as it demonstrates our ability to exchange data from the Marketplace Shop, Compare, and enroll process, into HPS, and back to the Marketplace.
Being among the first to successfully complete transaction testing is an important demonstration of the technical capabilities of our Go-To-Exchange Platform and provides our carrier clients with an edge in their Marketplace readiness strategy.
For those carriers that are lagging behind on readiness, achieving these significant milestones also validates that Go-To-Exchange is the proven solution that can keep them off the Marketplace sidelines. Through Go-To-Exchange, we resolve the issues around configuring products and operational processes. Our reform-ready ServiceLink℠ platform handles core administration, while ExchangeLink℠ establishes connections with the government entities and our carrier partners to carry out critical member and financial management functions.
These early successes validate HPS’ focus on delivering proven yet flexible processes and solutions that overcome the challenges of participating in multiple Marketplaces—success our carrier client can leverage for rapid deployment and ongoing management of their own effective Marketplace strategy.