Marketing Organizations / Brokers / Consultants

Marketing Organizations
Enhance your services

Now more than ever, health insurance plans must re-evaluate their business strategies to thrive in a marketplace transformed by consumer directed healthcare (CDH). Whether defined benefit or defined contribution, large or small employers, group-eligible, part-timers or retirees, the QHIX enables health plans to deliver a robust solution to employers and members in a single platform.

With the passage of the Affordable Care Act, the imposition of the Medical Loss Ratio percentages, health plans do not have the luxury of maintaining multiple systems to perform similar administrative functions
Offering new plans with increasing deductibles, higher out of pocket expenses and a diverse set of plan options requires a much more flexible communication experience which includes a more flexible shopping and enroll and enroll marketplace
Multi-lingual compliant communication is critical to successfully working with a diverse client population
The ability to launch customized communication through our “Reach and Teach” marketing platform will drive adoption, increased revenues and less customer support costs which drive ROI
Health plans need to become the drivers of technology and not followers of enrollment platforms
With the pace of change that is occurring in the market, health plans need platforms that allw them to adapt to market changes as they occur

Manage your Plans

My Marketplace allows you to manage your Catalog of Plans, and define all of their attributes including benefit details, rates, eligibility, service area, etc.

Design and Deploy

With My Marketplace, you can present your plans to new and existing Employer Groups through an informative selection experience – which then enables the consultant and employer to design a benefit package containing the right mix of plan offerings.

Educate and Enroll

Once the Employer group settles on their preferred mix of plan offerings, My Marketplace™ enables that group’s Employees to enroll in your plans through user-friendly Online Self Service- for Open Enrollment, New Hires, and Life Events. As a rules-based engine, My Marketplace prevents your plans from being enrolled by employers, employees, and/or their dependents who are not eligible.

Bill, Reconcile and Remit

Once plans are enrolled, My Marketplace will handle Consolidated Billing for all product types, reconciliation, and remittance – for Premiums, Fees, and Commissions.

Interface Data

As enrollments as captured, My Marketplace’s sophisticated EDI Manager will transmit election data to carriers – on a weekly or regular basis as configured – and most importantly, with quality and accuracy.