Geisinger HMO Selects hCentive’s Health Insurance Exchange Integration Solutions

hCentive, the leader in ACA health insurance exchange technology, has announced that it formed a new relationship with Geisinger Health Plan (GHP), a leading health insurance provider, for WebInsure Exchange Manager and WebInsure Private Exchange in US.

hCentive’s WebInsure Exchange Manager will provide GHP with a secure means to manage the complex enrollment and reconciliation processes that integration with the state and federal exchanges will bring. The cloud-based solution provides integration with an organization’s internal systems and enables the easy sharing of benefits and product information to other sales channels and any applicable federal or state exchanges. GHP will use the system to accept and transmit data to and from external sources while synchronizing with their own internal systems.

“We are very pleased to work with GHP to offer them our exchange integration and private exchange solutions,” said Manoj Agarwala, President & Chief Operating Officer of hCentive. “They offer a variety of plans to 400,000 members in the 43-county service area, and needed innovative solutions that address new emerging trends emanating from healthcare reform.”

“hCentive’s solutions support both federal and state exchanges and offer the scalability and security we need, as well as the usability to ensure wide adoption among our members,” said Duane Davis, MD, president and chief executive officer at GHP. “Their interface greatly simplifies the insurance buying process, supports defined contribution plans and provides full-featured broker, employee, and employer portals as well.”

hCentive has seen an increase of interest in WebInsure Private Exchange and WebInsure Exchange Manager as health plans and other organizations are preparing for new trends on how insurance will be purchased going forward and the complexities of multi-exchange integration with state and federal exchanges.

“We are finding the market is actively preparing for exchange integration and have concerns about those operations going smoothly,” continued Mr. Agarwala. “WebInsure Exchange Manager is available to meet the needs of health plans by providing a platform which allows them to sell products on multiple exchanges, manage claims, and ensure all payment and billing information remains in compliance. Many insurers are planning on operating on multiple exchanges, and they need a scalable and customizable platform in order to manage the complexity, which WebInsure Exchange Manager provides.”

Geisinger Health Plan, begun in 1985, is headquartered in Danville, USA. The plan serves approximately 400,000 members in Pennsylvania, Maine, New Jersey and West Virginia. Coverage is available for businesses of all sizes, individuals and families, as well as Medicaid and Medicare beneficiaries. As part of Geisinger Health System, GHP has been recognized nationally as a model for health-care reform with documented success in innovative programs such as the patient-centered medical home.

hCentive on its part, is in the business of simplifying the complex world of health insurance. hCentive provides technology solutions for health insurers and state health agencies. These solutions help them reduce cost and administrative complexity, while enhancing relationships with their customers.

hCentive is the first organization to build an exchange solution from the ground-up post the Patient Protection and Affordable Care Act of 2010 (PPACA). hCentive has developed a deep understanding of healthcare reform and has crafted solutions and services that align with federal and state regulations and meet or exceed all industry standards.