Affinity Health Plan (Affinity), a not-for-profit organization offering healthcare coverage to New York area residents, has selected Dell Services and ikaSystems, a provider of enterprise, cloud-based business process and automation solutions for health plans.
Under the partnership, ikaSystems has agreed to connect to the New York State of Health – Health Plan Marketplace and assist in the administration of the new Exchange business line.
The alliance happens at a time when the health insurance market is expected to reach 33 million people. In particular, Medicaid health plans are helping to improve the quality of care for covered individuals and lower costs by providing access to the right care in the right setting.
To attract a broad range of consumers and maximize enrollment, exchanges must provide enrollment processes that are fast, efficient, exceptionally well designed and easy to navigate.
The services and solution will automate and streamline Affinity’s administrative processes on the Health Plan Marketplace to enable the plan to successfully participate in the Exchange.
Affinity has been working closely with community health centers and other primary care practices to deliver health care coverage to New York residents. The organization works with over 30,000 doctors and 68 of the area’s best hospitals to provide access to quality health coverage for more than 265,000 customers in the New York metro area.
Affinity will utilize Dell’s BPO services ikaSystems’ solutions to automate and streamline administrative processes associated with the exchange business, improving agility, accuracy and compliance.
The company will use solutions like ikaExchange, ikaClaims, ikaEnterpriseService, ikaPortals, and ikaBilling.
Dell provides healthcare information technology services globally, based on a recent Gartner report. The ranking, which is based on 2012 revenue, marks the third consecutive year Dell has achieved the No. 1 ranking for healthcare services.
Dell works with health plans representing approximately 100 health insurance organizations. On an annual basis, Dell processes more than 96 million claims, handles more than 1.3 million enrollment transactions and manages call centers that receive more than 11 million calls per year for these customers.