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.