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A Trusted Industry Partner

Re-tooling critical business processes while balancing the needs of consumers, health plans and diverse industry stakeholders, and supporting them with scalable technology are necessities for Health Insurance Exchanges to succeed.  When done effectively, these changes ensure both regulatory compliance and sustainability.

HPS' investment in the most knowledgeable people, most innovative processes and scalable technology consistently result in significant market and operational value for our clients. 

  • Consumer Portals
  • Broker & Employer Portals
  • Navigator Support
  • Rating & Quoting
  • Eligibility/Subsidy
  • Enrollment
  • Policy Issuance 
  • In-Force Administration
  • Customer Service
  • Billing
  • Premium Aggregation 
  • Cash Management 
  • Claims Processing 
  • Commissions
  • Advanced Analytics
  • Market Analysis
  • Dedicated Retention Unit
  • Integrated CRM

 A Delicate Balance

HPS experienced similar challenges first hand in the 1990's version of health reform, working with state and industry constituencies to create health purchasing alliances within State and Federal system and policy constraints.  While the results in the industry were mixed, some alliances continued to operate and the lessons learned have led to policy and implementation changes within PPACA to help avoid the pitfalls of prior models for Health Insurance Exchanges.

Most states have begun developing tactical plans for launching Health Insurance Exchanges by 2014.  As with prior health reform and Exchange-like implementations, the business process and technology requirements will require significant efforts beyond the federal mandates.  Read our EXCHANGES WHITE PAPER

Contact us to learn more about how HealthPlan Services can help you overcome the challenges associated with health reform and Health Insurance Exchanges.