State-Based Marketplaces
From in-person assistance to essential features, our end-to-end, omnichannel SBM solutions include customer service support, outreach, and engagement.
Proven solutions to meet your needs
Since the enactment of the Affordable Care Act, many states are realizing the advantages of a state-based marketplace (SBM). We support SBMs in California, the District of Columbia, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, and Vermont, bringing best practices to drive better outcomes and ultimately reduce the number of uninsured.
Achieve the benefits of an SBM
Get design flexibility to align with state policies, programs, and fiscal goals. Extend your open enrollment period, create tailored government customer experiences, and integrate with other state health programs. Customize your outreach and education strategies and make key decisions about in-person assistance and marketplace features that matter most to your state.
Discover how our capabilities can support your SBM
We help modernize customer service, so consumers receive accurate, timely support. Through omnichannel contact centers and digital solutions such as IVR, webchat, websites, and mobile apps, we deliver a consistent experience that makes access to coverage easier.
We help you reach consumers where they are through coordinated outreach and education. Our approach combines digital campaigns, clear communications, translation services, and outbound calls to increase awareness, engagement, and understanding across populations.
We help deliver seamless digital experiences for your marketplace. Our team builds accessible websites and portals for seamless plan comparison and enrollment, along with secure premium billing services that support payments, reconciliation, and member communications.
We help modernize mailroom operations using advanced technology to manage documents efficiently. Services include sorting, scanning, and secure upload, supported by AI-powered document processing to improve accuracy and speed service delivery.
We’re uniquely positioned to help your consumers transition from one type of coverage to another through a single point of entry. We help consumers avoid a gap in coverage when moving between programs like Medicaid, the Children’s Health Insurance Program, and marketplace Qualified Health Plans.
We expertly train our own staff and, at your request, provide training to your state-selected navigators, assistors, and certified application counselors.
We can assist with appeals processing. Our informal dispute resolution program has a proven track record of resolving consumer issues quickly, leading to increased customer satisfaction.
See our work in action
Explore our marketplace perspectives
How do I ensure a successful transition to a state-based marketplace?
Choose the right partner, focus on customer experience, and invest in a marketing strategy.
Read our insights article
Can a mobile app streamline health insurance enrollments?
Innovative mobile technologies are enhancing access to coverage simply and securely.
Read our insights article
