CGI Group Inc. (NYSE: GIB)(TSX: GIB.A) today announced that Kentucky Health Cooperative (KYHC) and Louisiana Health Cooperative (LAHC), two of the 24 Consumer Operated and Oriented Plans (CO-OPs) established through the Affordable Care Act (ACA), have selected CGI to provide healthcare payer services for the next five years. CO-OPs are nonprofit health insurance issuers established to offer competitive health plans.
CGI will provide KYHC and LAHC with integrated, platform-based business process services ─ such as member and provider services, enrollment, billing, claims processing, printing and fulfillment ─ from its Center of Excellence in Bedford, Texas. CGI partner, Healthation, will provide the underlying technology for the CO-OP services.
“Partnering with CGI and their experience with the Affordable Care Act will allow us to focus on implementing our business model according to our mission of a member-customer focused health plan,” said Janie Miller, CEO of the Kentucky Health Cooperative. “The selection of CGI provides Kentucky Health Cooperative with the business services to operate efficiently while delivering quality health coverage and exceptional customer service.”
“CGI’s experience with state health insurance exchanges and the U.S. Federally-Facilitated Marketplace combined with their innovative offerings were key factors in choosing them to help us participate in the health insurance exchange marketplace,” said Terry Shilling, Acting CEO, Louisiana Health Cooperative. “The CGI solution was tailored to our business requirements and provides flexibility as we grow and respond to market changes.”
“Healthcare payers must implement new strategies to compete in the new consumer-based health insurance market,” said Dave Henderson, Senior Vice-President for CGI’s U.S. Central South business unit. “CGI has the business knowledge, experience developing state and federal exchanges, and service offerings to help payers navigate the changing U.S. healthcare environment.”
About Kentucky Health Cooperative
The Kentucky Health Cooperative (KYHC), based in Louisville, is sponsored by a coalition of providers and business leaders dedicated to improving health outcomes by providing member-focused, accessible, cost-effective and quality-focused health care to individuals and small groups living in the Commonwealth of Kentucky. KYHC was identified by the United States Department of Health and Human Services (HHS) to receive loans to create and operate a Consumer Oriented and Operated Plan, or CO-OP. CO-OPs are non-profit, member-owned and member-governed health insurance companies. KYHC is on track to offer health plan benefits starting January 1, 2014. For more information, please visit www.mykyhc.org.
About Louisiana Health Cooperative
Louisiana Health Cooperative (LAHC), based in New Orleans, is sponsored by a coalition of providers and business leaders, including Ochsner Health System, who plan to improve health outcomes by providing better access to high quality care at an affordable cost. LAHC plans to provide statewide coverage in Louisiana with the mission of serving their members by promoting and supporting the delivery of integrated healthcare in each of their products and services. LAHC will participate in the individual and small group Health Insurance Exchanges operating in Louisiana, as well as in the health insurance marketplace. LAHC is on track to offer health plans starting January 1, 2014. For more information, please visit www.mylahc.org.
Healthation is a comprehensive, user-configurable core administrative system that offers a single, Web-based platform for administering benefits across all lines of business, including medical, dental, vision and pharmacy. Its market strategy and solution bundles address five core markets, and each bundle is configured to meet the current and future marketplace challenges and fulfill clients’ objectives to grow and adapt accordingly. Healthation enables healthcare payers to future-proof their organizations with a flexible, rules based administration system that will meet industry challenges and improve overall business performance. Today, Healthation supports 26 customers representing nearly 24 million members. The company's offerings are available via a SaaS subscription model in either an ASP or client-hosted environment. For more information, please visit www.healthation.com or follow the company on Twitter @ twitter.com/healthation and LinkedIn @ linkd.in/Healthation.
Founded in 1976, CGI Group Inc. is the fifth largest independent information technology and business process services firm in the world. Approximately 69,000 professionals serve thousands of clients from offices and delivery centers across the Americas, Europe and Asia Pacific, leveraging a comprehensive portfolio of services including high-end business and IT consulting, systems integration, application development and maintenance, infrastructure management as well as a wide range of proprietary solutions. With annualized revenue in excess of C$10 billion and an order backlog exceeding C$18 billion; CGI’s shares are listed on the NYSE (GIB) and the TSX (GIB.A). Website: www.cgi.com.
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