CGI Health Insurance Exchange360®

Helping make health insurance more transparent and available for our clients' citizens

To help states meet their unique health insurance exchange (or marketplace) needs, as well as ACA requirements, CGI developed CGI Health Insurance Exchange360®, an end-to-end set of consulting, business and technology services that include:

• Health insurance marketplace portal providing plan feature and price comparisons
• Eligibility screening and verification
• Enrollment and purchasing
• Interfaces through the Federal Data Services Hub to IRS, Homeland Security and Social Security Administration; interfaces also will include gateways to state systems as needed
• Health plan management
• Financial management including premium billing/tax credits
• Customer service center
• Education and outreach
• Member management
• Administration and reporting
• Infrastructure and hosting services
• Program management

CGI leverages practical experience from our extensive work with high-profile public and private sector health insurance programs, including Medicare, Medicaid and numerous complex private sector plans; ACA planning and prototyping efforts for the IRS; and work on integrated state eligibility systems. Our experience also includes:

• For states – CGI is performing exchange implementation work in California, Colorado, Hawaii, Massachusetts, Kentucky, New Mexico and Vermont.
• For the federal government – CGI is building the Federally Facilitated Marketplace (FFM). The FFM Is distinct from the Federal Data Services Hub being developed for the Centers for Medicare & Medicaid Services by another IT provider.

For more information, review our Health Insurance Exchange360® brochure (PDF) or contact a CGI representative at Health Insurance Exchange360®.