State-Based Marketplaces

• One end-to-end vendor: We offer an all-in-one solution, with an operationally efficient migration from the Federally Facilitated Marketplace (FFM) to a state-based marketplace (SBM), as well as user-friendly tools and solutions to meet the needs of consumers, agents, customer service representatives, and administrative users.
• A technology platform with a rich base configuration and continuing momentum: Our technology is mature and is being used by nine state-based marketplaces successfully.
• A consumer support center that is built out and in operation today: We have more than 10 years of experience running contact centers for public- and private-sector customers. With this experience, we offer an existing, proven contact center with additional dedicated resources as needed.
• Small implementation footprint: Our implementation approach leverages best practices from marketplace transitions and does not require extensive customization or a ground-up system build. 
• Ongoing enhancements and compliance: Our platform evolves and adapts with the ever-changing market landscape, and we work with our state partners to ensure you’re ready for any policy changes ahead of time. We customarily make compliance, usability, security, effectiveness, and efficiency updates across all our customers, providing states with a predictable budget and future-proof solution.
• Qualified Health Plan eligibility and integration with Medicaid: The coordination of integrated eligibility between state exchanges and Medicaid has traditionally been one of the most significant challenges for SBMs. We leverage our experience and past successes integrating with other Medicaid eligibility systems, such as at Your Health Idaho, and offer a comprehensive Medicaid Express solution.
• Marketplace Platform Advisory Council: In addition to having access to generally available enhancements, we also provide our customers with access to our Platform Advisory Council comprised of our current customers. The council’s purpose is to help all of our customers align their interpretations of ongoing feature requirements and coordinate improvements for greater efficiency.

If your state currently leverages the Federally Facilitated Marketplace (FFM), a state exchange can give you more control over rising premiums, as evidenced in research from The Commonwealth Fund suggesting SBMs have up to 20% lower premiums than states on FFM/Healthcare.gov. Plus, the move from FFM to SBM is much easier than it once was due to new policies that encourage states to leverage section 1332 waivers.

With a state-based marketplace, you are likely to reduce your costs dramatically, increase usability and operational efficiency, and support your state’s specific policy desires. The economics of state-based marketplaces have proven to be more sustainable for many states than operating on the FFM. Contact us for more information and state-by-state savings opportunities.

State-based marketplaces offer states the ability to:

• Eliminate the auto-renewal risks present with Healthcare.gov
• Support shopping and enrollment for Medicaid buy-in programs
• Support the unique churn needs between Medicaid, Medicaid buy-in, and QHP programs
• Provide administrators the data they need to target outreach efforts in particular counties, cities, and towns
• Provide multilingual language support where appropriate
• Support a workflow that gets users their insurance cards (an issue many states have seen in the past)
• Enable advocacy with optimal use of health plan wellness services