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Exploring the evolution of insurance exchanges: The final installment

Today marks the final day of Deltek’s health care and social services team’s blog series centered on the recently-released report, “Evolving Health Insurance Exchanges.” The report takes a nationwide dive into implementation processes and state statuses in instituting these novel systems. It also provides high-level advice for government contractors for getting ahead in the game. This week’s blog series covered several topics including integrated eligibility, procurement, all-payer claims databases and quality assurance. Here are a few more notable highlights across the states:
District of Columbia: The D.C. Office of Contracting and Procurement, on behalf of the Department of Health Care Finance (DHCF), released a request for task order proposal (RFTOP) on Jan. 17 for the development and design of its insurance exchange. The selected vendor will assist the state in developing a request for information (RFI) to obtain information regarding technology solutions available to support the implementation of the HIX, in addition to developing a request for proposals (RFP) for system implementation. According to DHCF, the RFP statement of work will be due by May 1, 2012. Also, the state recently passed legislation to create the DC Health Benefit Exchange Authority.
Mississippi: The state has been taking a four-phase approach and is currently evaluating proposals received for phase 1 – the Web Portal and Compare Functionality for the HIX. According to the Mississippi Comprehensive Health Insurance Risk Pool Association, the contract is expected to be awarded by the end of this month.
Florida: The state recently introduced legislation (SB 1640 and HB 1423) proposing the establishment of a state-run insurance exchange. This is an interesting turnaround considering Florida is currently one of the states leading the lawsuit against the Affordable Care Act (ACA).
Colorado: The Colorado Health Benefit Exchange Board (COHBE) released its RFP this week for customer service and technology for SHOP and individual exchanges. COHBE is seeking partnership with one or more vendors to be responsible for providing the complete COHBE solution, including all required services for a successful implementation.
Nevada: This week, the Nevada Department of Health and Human Services released an RFP for independent verification and validation (IV&V) services for its health care reform eligibility engine system. The state plans to utilize the IV&V vendor to meet various objectives for implementing an exchange by fall 2013, including modifying a system based on outdated technology, and creating an eligibility rules engine for all publicly-subsidized health coverage programs to support Medicaid, CHIP and exchange-based subsidy programs.
As always, don't forget to follow Deltek's Health Care and Social Services Team on Twitter@GovWin_HHS, or connect with us through LinkedIn!

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