The document discusses the use of Alfresco for document management in federally facilitated health insurance exchanges established under the Affordable Care Act. It notes that Alfresco will be leveraged to store unstructured data from various stakeholders, apply flexible metadata for searchability and categorization, and scale to handle large user and document volumes. Key considerations for the design include keeping the content structure simple, organizing metadata by business domains, and ensuring the solution remains portable, vendor neutral and integrates via open standards. Alfresco will sit in the application layer of the FFE architecture and interface with content services and the repository layer.

1. March 5, 2013
Federally Facilitated
Exchange (FFE)
Leveraging Alfresco with FFE
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_experience the commitment TM

2. A humorous look at the challenge to obtain
quality affordable care
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3. The Challenge and Key Drivers for Change
• Patient Protection and Affordable Care Act (ACA),
September 2010
• U.S. legislation was passed to put American consumers
back in charge of their health care and put an end to the
worst abuses of the insurance industry, such as:
• Denying coverage to children based on pre-existing conditions
• Dropping patient health coverage when they became sick
• Placing lifetime limits on benefits
• Providing access to affordable healthcare
• Aimed to reduce paperwork and costs, increase
transparency and quality of care, and more
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4. ACA Legislation Mandated
• States to create an online competitive health
insurance marketplace to provide individuals and
small employers access to affordable health
insurance.
• Each state may construct its own exchange or the
Federal government will provide an exchange under
regulations by the Federal Department of Health and
Human Services
Ø Deadline for the implementation: October 1, 2013
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5. FFE Concept of Operations
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6. FFE Stakeholders
Small
Potentially Business
30 Million + Employers
Lots of political
interest! Consumers and
Employees
White Employers
House and and
Congress Employees
Individual and
Web Brokers,
All major Navigators
insurance Navigator,
carriers in the Issuers FFE Brokers
nation
FFE States
Federal States that will
Agencies
fully or
partially
SBE States
leverage FFE
IRS, DHS,
DoC, SSA States
building their
own 6
Confidential – data cannot be reused or repurposed without express consent from CGI Federal
exchange

7. FFE ECM Requirements and Alfresco
• Serve as the repository of all binary and raw data received from
Store various stakeholders. Ability to retrieve raw data to support down
stream business processes. Ability to retain and archive data as per
Unstructured Data federal policies
Flexible Meta- • Associate flexible meta-data attributes with various documents/records
Data Management to enable multi-tenancy, searchability and categorization
• Ability to scale vertically and horizontally to handle thousands of users
Scalable and millions of documents
Open Source and • Support for open standards and APIs for integration with overall
Vendor Neutral solution
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8. Design Considerations and Challenges
• Keep the content folder structure simple and intuitive,
do not over-engineer
• Organize metadata and structure by major applications
and business domains that feel natural to users
• Create a metadata hierarchy to simplify metadata
management and improve metadata population
• Make Repository tenant-aware where applicable
• Extensible folder and metadata structure so that it can
evolve with evolving business requirements
• Keep the solution portable and vendor neutral by
leveraging open standards for integration (e.g.
OpenCMIS)
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Confidential – data cannot be reused or repurposed without express consent from CGI Federal

9. Alfresco in FFE Architecture
UI Layer - Mobile/Web Rich Internet Application (HTML,
CSS, JavaScript)
Presentation
(JSON)
HTTPS
Layer
REST Service SDK
Java(XML)
SOAP/
Application FFE Content Services (ESB)
Layer
OpenCMIS
Enterprise
Repository)
(Relational
Oracle
Document
Data
JDBC
Management
(Alfresco)
Data Layer
FEPS Enterprise Data
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Confidential – data cannot be reused or repurposed without express consent from CGI Federal

10. Thank You !!!
Chirayu Desai (CD)
Vice President
Health and Compliance Programs
Phone: 973-885-3876
Email: Chirayu.Desai@cgifederal.com
Confidential – data cannot be reused or repurposed without express consent from CGI Federal