NFP Health’s turnkey solution allows smaller, traditional Medicaid plans to seamlessly enter the ACA commercial marketplace.
Our comprehensive model features a robust online shopping portal, as well as a full administrative platform including: shopping, sales, underwriting & enrollment, premium billing, operations, and reporting.
In a recent engagement with Network Health, a 220,000-member health plan that serves Massachusetts residents with low and moderate incomes, NFP Health recently implemented its hosted Medicaid solution. The solution included a private shopping portal, underwriting & enrollment, billing & collections, XML transfer for real-time rate quotes, EDI 820/834, and a standard and customized reporting package. Network Health began offering its first commercial health plan in 2013, after a quick six-month implementation, making them well-positioned for 2014 and beyond.