A Trusted Industry Partner
In less than 2 years, the first wave of consumers will be shopping for subsidized medical coverage through a health insurance exchange.
The challenge for many health plans is that they simply do not have the capacity to manage all the moving parts that the health insurance exchange participation will require. Internal health reform assessments are underway at many carrier organizations revealing existing weaknesses in such crucial areas as enrollment, eligibility, premium collection and renewal and retention programs. To succeed in a health insurance exchange environment, plans must not only strengthen these key areas, but they must also build in the flexibility required to customize them according to individual state exchanges' requirements.
HealthPlan Services’ Go- To -ExchangeSM strategy not only brings the technology that is needed to meet the needs of the individual state exchanges but the scalability to take products to the private exchanges as well. Go-To-Exchange solution provides comprehensive management of administrative and technical needs of health plans participating in state exchanges. Go-To-Exchange relies on HealthPlan Services’ LinksSM Suite of Services, combining technology and business processes to make it possible to enter the health insurance exchange universe.
- ExchangeLinkSM, provides the necessary integration between health plans and state exchanges, plus integrates the HIX platform with your existing core systems and business processes.
- SalesLinkSM, supports customer acquisition through precision marketing, enrollment, underwriting and welcome kit issuance which also increases incremental revenue through effective cross-selling.
- ServiceLinkSM, provides in-force administration, member billing, tax credit/subsidy collection, premium reconciliation and customer service.
- LoyaltyLinkSM, delivers improved retention through advanced analytics, market analysis, cross-selling and renewal plan option during open enrollment.
For some carriers, the financial and human resources required to close business processing gaps in time to launch effective health reform exchange programs simply do not exist. For others, diverting necessary resources from other core programs is a strategic non-starter. Carriers will be able to leverage the expertise of HealthPlan Services’ Go-To-Exchange solution to ramp up and administer a profitable exchange line of business. For more information contact us.