Health Insurance Exchanges (HIX)

If you are in the process of moving onto a government-sponsored HIX or setting up a private one, we can help. With over 15 years working with healthcare systems and health and human services programs--including HIX--we understand the issues involved. Our teams have firsthand HIX experience to assist you along the way.

Although Health Insurance Exchanges (HIX) are conceptually straightforward, the devil is in the details of the Affordable Care Act (ACA):

        • The myriad of interfaces with multiple entities produces intricate complexity that requires
          specialized expertise.

        • Health plans' data errors are often not uncovered until Exchange interface testing.

        • Do you need help with EDI 834 and EDI 820? We've helped others and can help you.

        • We understand Plan Management: plan benefits, plan rates, rating area, Provider Directory,

        • Have you created testing certification for your carriers? A well-developed plan will
          create the roadmap.

        • It's important to load test your application. We recommend using SOASTA , which we believe
          is the best SaaS testing solution for modern web and mobile applications, and which
          is extremely affordable as well. In fact, SOASTA was used in the successful launch
          of MNSure (MN's HIX)

        • We understand Individual and Family Plans (IFPs) and Small Business Health Option Plans
          (SHOPs), along with the overall ACA landscape.

        • Navigating and collaborating with the HIX agencies, their regulations and their business
          operations can be daunting. We've done it and know the way.

        • We have teams of project managers, business analysts, technical experts, and testers
          who live all facets of ACA day and night.

        • We understand and know how to deliver the ACA programs to the consumers and those
          agencies who directly support the consumers.

        • Do you need help working with the Federal Hub? We know how.

In short, The Ballard Group provides HIX assistance by people who've lived it.

Beyond HIX, we understand healthcare organizations, having worked over the years with such organizations as Landmark Healthcare, California Department of Health Care Services, California Department of Public Health, Vision Service Plan, California Department of Mental Health, and Christiana Care Health Systems.