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Health Insurance Exchange

Health care reform

The Health Insurance Exchange provisions within the Affordable Care Act impact multiple sectors within the Health Sciences & Government (HS&G) industry. Exchanges will create online marketplaces where individuals, small employers, and eventually larger employers can shop and compare health insurance options. We believe that they will have dramatic impacts on states, the Federal government, health plans, and employers.

Deloitte’s Health Insurance Exchange Design Solution assists State Governments, health plans and the Federal government by:

  • Addressing go-to-market strategies for our health plans clients
  • Providing guidance on the key questions stakeholders need to resolve to deliver an end-to-end solution
  • Designing solutions and prototypes that can accelerate the deployment of state-specific solutions
  • Developing scenarios and modeling operational and technical impacts for health plans
  • Helping identify the key capabilities needed to deliver to support key constituents

What We offer

Services

  • HIX Strategy & go-to-market option
  • HIX planning and program management through implementation
  • HIX Implementation, including potential maintenance & operations opportunity
  • Targeted health plan support (including eligibility system enhancement and Medicaid cost management)
  • HIX product architecture, design and development
  • HIX actuarial strategy and planning

Tools and methodologies

  • Planning tools and methodologies
  • Scenario planning and modeling
  • Health Reform Value Map
  • Impact assessment tool
  • Business Model Readiness Assessment Framework
  • Industry Print and Operating Model Maturity Assessment
  • Vision and Option Analysis
  • Project Prioritization
  • Implementation Plan and Dashboard tracking

Key Contacts

Pat Howard
Public Sector State Health Care Practice - Health Insurance Exchanges
Deloitte Consulting LLP

Paul Lambdin
Health Plan Practice - Health Insurance Exchanges
Deloitte Consulting LLP

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