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Health Insurance Exchanges: are you ready?

The Patient Protection and Affordable Care Act, signed into law by the Obama Administration in 2010 is on course for full implementation and that means each state Medicaid agency will have to set up a Health Insurance Exchange, or HIX, by 2014. But the law remains controversial and you can expect close scrutiny. How accurate can you be?

One way to improve accuracy with little extra effort: use a fresher data set than you can get from a year-old tax transcript.

The Work Number

  • Integrate with your HIX
  • Verify income (pay period current)
  • Monitor your caseload for changes in income
  • Verify employer-sponsored insurance in many cases
  • Increase your program integrity

Learn more:

The Work Number has current employment and income records from 2,200 employers nationwide as fresh as each employer's last payroll and you can search this database in seconds.

Better still: integrate your HIX with The Work Number and automatically monitor caseloads for changes in income.

Federal mandates aside, many states are moving toward using more available data sets to improve accuracy in administering Medicaid benefits. One example: A Mississippi law took effect this year that requires the state Division of Medicaid to develop a data match system to get information from financial institutions in order to regularly check on the assets of beneficiaries. The Mississippi law also requires the state's Division of Medicaid to report by the end of 2013 on how many financial institutions participate in the data match system and how much the division saves.

If Hurricane Sandy kept you away from the recent conference of the National Association of Medicaid Directors (NAMD) sorry we missed you! Health Insurance Exchanges were top of mind for the directors we saw at the conference, and we'd hoped to discuss the subject with many more of you.

Interested in hearing more? Please contact us at with "HIX benefit accuracy" in the subject line.

Newsletter: November 2012, Volume II

In This Issue: