Exchange IT
States need to develop IT infrastructure specifications in order to build an Exchange that can perform the many functions required of it by the ACA.
*Milestone details:
*Full name: Develop IT infrastructure specifications for the Exchange.
*Relevance to the ACA:
The ACA requires the Exchange to carry out functions that require development of an IT infrastructure. This IT infrastructure will support interactions between the Exchange and insurers, consumers, and state agencies as well as transactions within the Exchange itself. Relevant sections include:
§1311 - Details the required functions of the Exchange, including: certifying plans; operating a telephone hotline, a website to compare plans, a navigator program, and a cost-calculator; rating plans and presenting plan options for consumers; informing applicants of eligibility for public insurance programs and informing employers of workers who cease coverage; and accounting for exceptions to the individual mandate.
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Maryland
Where can I get more information about Exchange IT and general guidelines for setting up an exchange?
Alabama
There are lots of good resources out there. I would start with AHIMA: http://www.ahima.org/advocacy/healthinformationexchange.aspx?tab=3
and ONC: http://www.healthit.gov/providers-professionals/health-information-exchange
http://www.healthit.gov/policy-researchers-implementers/state-health-inf...
District of Columbia
Thanks for your question- NASI has done a few reports on insurance exchanges, including the most recent on IT: http://www.nasi.org/sites/default/files/research/Establishing_the_Techno...
They also have other exchange briefs on a number of topics relevant to setting up an exchange. You can find those here: http://www.nasi.org/research/medicare-health-policy
Maryland
Thank you all!
Alabama
A great presentation raised a few things for me and I would love to hear feedback on them.
1. How do you go about ensuring that you aren't creating brand new systems where people will find a way to duplicate old processes and thinking?
2. How do we ensure that we are not too vendor dependent? That state staff can ask the right questions to get good products?
3. How do we get our fellow state leaders to think bigger? The technology is not just for HIE or HIX, it can be shared by everyone, but how do we get the buy-in?
District of Columbia
This recently released report from NASI, authored by Michael Tutty and Jay Himmelstein of UMMS reviews issues that policymakers should consider as they build and enhance their own state-based technology infrastructures and includes give key takeaways as a guide.
Massachusetts
The executive summary of this article was also posted on Health Affairs:
http://healthaffairs.org/blog/2012/09/18/state-perspectives-on-building-...
District of Columbia
The Hawai'i Health Connector released an RFP for an Exchange IT solution on July 16, 2012. HI is seeking a vendor that can "design, develop and implement a Health Insurance Exchange system". Proposals are due by August 21, 2012.
Massachusetts
Hi - I was curious about RFPs specifically for IT vendors. Does anyone know which ones are out and which ones have been closed but no vendor has yet been awarded (for example, Alabama's RFP for an IT vendor is past its due date, but no vendor has been awarded)? Thank you!
District of Columbia
Hi Kate-
We know that DC has an RFP out: http://www.statereforum.org/sites/default/files/dcas_si_vendor_rfp_5-29-...
RI has one that closed and they are planning to award the contract in September: http://www.purchasing.ri.gov/RIVIP/StateAgencyBids/7449637A6.PDF
NV has multiple RFPs that have closed and they'll be meeting this week to discuss vendor selection. The meeting agenda is here: http://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/00-A...
New York
Attached is a presentation presented by Early Innovator states MA, MD, NY and OR at the CCIIO Exchange System Wide Meeting on May 22, 2012.
Florida
I see that we have documents on file for RFP's issued, I am looking for a step further--RFP's awarded to date. It is often very difficult to see these "Public" awards on the state's websites--any suggestions?
District of Columbia
Hi Jennifer,
Some state exchange websites contain a specific section on procurements or solicitations and will list the awards when they are made, other times this information may be found under the news releases. We've produced a chart listing state health reform website and specific exchange website URLs and update it periodically. This might help you as you look for RFP awards.
Website chart: http://www.statereforum.org/state-health-reform-and-exchange-websites
That said, we do know that WA awarded their exchange IT systems contract to Deloitte.
District of Columbia
The Maryland Health Benefit Exchange issued an RFP on April 18th for a project manager to support the Department of Human Resources-Office of Technology for Human Services and play a critical role in the Health Care Reform IT Project, the exchange and the CARES Interoperability Project for HCR.
Alabama
Request for Information to develop Alabama's Health Insurance Exchange data systems
Connecticut
Request for Proposals:
Health Insurance Exchange: Seeking contractor to focus on Business Operations, related IT systems, and Consumer Assistance
The State of Connecticut, Office of Policy and Management (OPM), is seeking a qualified contractor to focus on Insurance Exchange business operations and related IT systems necessary for the development of implementation options as well as the asessment and design of consumer assistance components necessary to support Exchange enrollees.
The Connecticut Health Insurance Exchange Board of Directors will select an external technical assistance vendor (“Contractor”) to complete the activities outlined in the Scope of Work. The purpose of this RFP is to solicit a qualified Contractor that will be responsible for all tasks and deliverables. An interdisciplinary team and sub-contractors (as needed) will focus on both the business process functions and related IT systems necessary for the design and development of implementation options for the Connecticut Health Insurance Exchange (“Exchange”) functionality. Additionally, the Contractor will be responsible for the assessment and design of the consumer assistance components that are necessary in supporting Exchange enrollees. To this end, two main workstreams are defined:
http://www.ct.gov/opm/cwp/view.asp?A=3006&Q=383284
Connecticut
Request for Proposals:
Health Insurance Exchange: Seeking contractor to focus on Business Operations, related IT systems, and Consumer Assistance
The State of Connecticut, Office of Policy and Management (OPM), is seeking a qualified contractor to focus on Insurance Exchange business operations and related IT systems necessary for the development of implementation options as well as the asessment and design of consumer assistance components necessary to support Exchange enrollees.
The Connecticut Health Insurance Exchange Board of Directors will select an external technical assistance vendor (“Contractor”) to complete the activities outlined in the Scope of Work. The purpose of this RFP is to solicit a qualified Contractor that will be responsible for all tasks and deliverables. An interdisciplinary team and sub-contractors (as needed) will focus on both the business process functions and related IT systems necessary for the design and development of implementation options for the Connecticut Health Insurance Exchange (“Exchange”) functionality. Additionally, the Contractor will be responsible for the assessment and design of the consumer assistance components that are necessary in supporting Exchange enrollees. To this end, two main workstreams are defined:
Updates to the RFP will be posted here:
http://www.ct.gov/opm/cwp/view.asp?A=3006&Q=383284
Maryland
States need to leverage the IT infrastructure and funding opportunities that exist in order to meet the tight timelines for the Health Insurance Exchange infrastructure. Health IT infrastructure (SOA, e-signature, web portals, secure messaging, master patient registries, provider e-directories, etc) and lega/policy (privacy, security, consent) that has been development and discussed by state stakeholders through their Strategic and Operational Planning for their health information exchanges under the ONC HITECH funding can be utilized for a sub-set of the work that needs to be done for the Health Insurance Exchanges. Identifying and utilizing those opportunities will allow a state to focus on the multiple of areas that have not been addressed in the limited time.
NASCIO - On the Fence: IT Implications of the Health Benefit Exchanges
June 2011
The Affordable Care Act provides states with the unique opportunity to either develop and run their own exchange or default to the federal government to establish and operate the exchange. State CIOs will play varying roles in health care reform, but irrespective of their responsibilities it will be imperative to provide sound leadership and provide feedback to governors on any IT gaps that may exist during this momentous time.
Minnesota
MN Exchange IT RFP
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