State-Based Marketplaces
Many states are considering their own health insurance marketplace.
As a leading provider of eligibility and enrollment services, we can help you make that successful transition.
A seamless transition to a state-based marketplace
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've implemented and operated the systems and processes for many SBMs, bringing best practices to drive better outcomes and ultimately reduce the number of the uninsured.
Achieve the benefits of an SBM
Get design flexibility to align with state policies, programs, and fiscal goals. Extend Open Enrollment, create tailored 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.
The leading provider of SBM consumer assistance
In Maine, Maryland, New Jersey, New York, Vermont, and the District of Columbia, we’re providing end-to-end, full-service, omnichannel solutions that include customer service support, outreach, engagement strategies, and other consumer-focused services. Now, we’re ready to help you achieve your vision for your state-based marketplace.
Our capabilities for establishing your SBM
We put your consumers first. We help you modernize your customer service approach for a more accurate, timely, and efficient experience. In addition to superior customer contact centers, we provide consumers access to digitally-enabled customer service through interactive voice response, webchat, interactive website, and mobile document upload apps for faster access to benefits.
We’re uniquely positioned to help your consumers transition from one type of coverage to another through a single point-of-entry model. We can help consumers get to the right place to avoid a gap in their coverage when moving between programs like Medicaid, the Children’s Health Insurance Program, and marketplace Qualified Health Plans.
Our demonstrated outreach and education approach helps you reach your consumers through award-winning social media campaigns, member communications, expert translation services, and outbound call campaigns.
We expertly train our own staff and, at your request, can provide training to your state-selected navigators, assistors, and certified application counselors.
We manage workflow and handle incoming mail, including sorting, scanning, and uploading documents.
We have a deep understanding of the fair hearing process and can assist with appeal processing. Our informal dispute resolution program has a proven track record of resolving consumer issues quickly, leading to increased customer satisfaction and allowing states to focus resources on fair hearings when requested by the consumer.
