The Affordable Care Act (ACA) allows uninsured Americans to obtain health coverage through one of three ways: the Federally Facilitated Exchange managed by the Department of Health and Human Services, a State-Based Exchange that uses the Federal Platform and healthcare.gov for enrollment, or through a State-Based Exchange that runs independently and performs all marketplace functions, including eligibility and enrollment.
Unique to how states provide residents with access to high quality, affordable health insurance while retaining ACA’s basic protections, Section 1332 of the ACA also allows states to apply for a State Relief and Empowerment Waiver to pursue strategies relevant to their constituents. The 1332 waiver is similar to a Medicaid waiver, in that it allows states that wish to pursue such strategies to receive formal Federal approval to do so.
Cognosante supports a program that provides operational and oversight support for a Federal agency to effectively administer State Exchanges and Section 1332 waivers. With states participating as partners to the Federal administration of the Affordable Care Act, success is dependent on how effectively all partners work together to create a best-in-class customer experience.
As a contractor supporting the Federal agency, Cognosante was tasked to ensure effective program delivery through:
Our Innovative Solution
The Cognosante team provides the program management, data analytics, and technical expertise to meet these critical objectives. More specifically—
Our Tangible Results
The project team was recognized by FedHealth IT in 2021 as an Innovation Award winner for:
Through these efforts, the team has reduced the margin of error in reporting, decreased time spent on quality control, and eliminated unnecessary data collection; thereby helped enable more healthcare options for state healthcare consumers.
Learn more about how we assist Federal and state healthcare agencies implement and manage their eligibility and enrollment programs through technology innovation.
Game-changing. Relentless. Passionate. Cognosante produces powerful results for our customers and the communities they serve.
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