Health Insurance Marketplace

Powering Your Health Insurance Marketplace

Backed by 25 years of health IT experience linking all levels of government, Cognosante delivers unsurpassed knowledge and expertise to build your HIX, link to the Federal Exchange, or create a hybrid solution. 
 
As a trusted health IT partner to CMS, 46 states, and the District of Columbia, Cognosante can design your roadmap to connect to the Federally Facilitated Exchange (FFE). We can help you plan, coordinate and implement all you need to support the FFE, leverage a partnership model, and establish a future path to implementing a state-based exchange.
 
Meeting Your Challenges
 
With today’s shrinking budgets and staffs, Cognosante helps you cost effectively meet your HIX challenges and optimize your business processes for all health insurance programs you offer to your citizens. We combine a broad national perspective with industry-leading business process, technical and systems design expertise to plan, implement, and support your unique HIX vision for your state.
 
Our Solutions and Services
 

We provide services across the five domains that are critical to successful Exchange initiatives including Eligibility and Enrollment, Plan Management, Small Business Health Insurance Options Program, Financial Management, Consumer Assistance, and Reporting. Our services include: 

 

  • Assessment and Planning
  • Functional Architecture/Technical Architecture and Design
  • Exchange Implementation
  • Systems Integration
  • System Interface Development and Interoperability 
  • Shared Business Services
  • Consumer Assistance Ongoing Operations
  • Assistance to States with FFE/FBE Planning and Integration

 

The Cognosante Difference

 

  • A Broad National Perspective: With experience at all levels of government, we provide a holistic perspective that helps states understand ACA and CCIIO mandates to create a successful health insurance exchange solution.

 

  • A Proven Track Record: With unmatched experience in Medicaid and CHIP across 46 states and the District of Columbia, we give you industry-leading expertise to current public assistance programs and HIX together for more cost effective and efficient eligibility and enrollment.

 

  • Unsurpassed MITA Leadership: As the industry MITA leader and pioneer, Cognosante combines a flexible, modular approach, and common architecture to drive compliance, efficiency, and return on investment.

 

  • The Best of Best Practices: Using proven best practice approaches and methodologies, we bring a wealth of tested insights and knowledge to your Health Insurance Exchange, driving efficiency and reducing risk.