State-Based Health Insurance Marketplaces and CO-OPs Launch with Healthation Core Administrative Platform

<0> PropllrJosh Inglis, 312.504.7677 </0>

The Affordable Care Act (ACA), the most momentous change to the U.S. health care system since Medicare in 1965, becomes a tangible reality today with the start of open enrollment in ACA-mandated Health Insurance Marketplaces and Consumer Operated and Oriented Plans (CO-OPs). , a leading provider of cloud-based and on-premise core administrative systems for healthcare payers and administrators at the forefront of this change, announced today that many of these new marketplaces and CO-OPs utilize its core administrative and financial management system.

Specifically, Healthation’s full core administrative system is being used by Health CO-OPs in Maine, Kentucky, Louisiana, Wisconsin, New Mexico, and Connecticut, and its sophisticated financial management components have been implemented by State-based Health Insurance Marketplaces (Exchanges) in Colorado, Kentucky, and Hawaii.

“These new health insurance marketplaces and CO-OPs rely on Healthation technology due to both our deep understanding of ACA requirements and our ability to enable direct-to-consumer servicing for health insurance plans,” said Healthation President and CEO Darin LeGrange. “In addition, Healthation’s ACA successes demonstrate that we can deliver our complete core system or any of its components in a timely and cost-effective manner for all kinds of payers and administrators, regardless of size or complexity.”

In addition to core financial management services such as invoice generation and aggregation, premium collection, processing, and disbursement, Healthation’s ACA-compliant system functionality includes:

Healthation’s core system helps public marketplaces and CO-OPs achieve their charters as resources that enable individuals, families and small businesses to gain access to high-quality health insurance by reducing administrative cost and complexity while helping to increase constituent service and satisfaction levels.

Suggested Articles

People who sign up for individual market plans during special enrollment periods face higher costs, a new study shows.

The acceleration of telehealth has come with some speed bumps that have been revealed with the rapid move to video and phone-based visits.

Kaiser Permanente earned $4.5 billion in net income in the second quarter after a "challenging" Q1.