Dell Services to power a health Exchange

PLANO, USA: Affinity Health Plan (Affinity), an independent, 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, to connect to the New York State of Health - Health Plan Marketplace and assist in the administration of the new Exchange business line.

The services and solution, as explained in the announcement, will automate and streamline Affinity's administrative processes on the Health Plan Marketplace to enable the plan to successfully participate in the Exchange.

Affinity 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.

The Congressional Budget Office estimates that within 10 years, the health insurance market will swell by 33 million people who would otherwise be uninsured. 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.

"Affinity is proud to be selected to offer its products on the New York State of Health," said Bob Allen, Affinity's senior vice president and CIO. "We needed additional expertise and resources beyond our team in order to enter this market, and we are confident that Dell's healthcare BPO team and the ikaSystems solutions will help us get there."

Affinity will utilize Dell's BPO services with the following ikaSystems' solutions to automate and streamline administrative processes associated with the exchange business, improving agility, accuracy and compliance.

"Adapting to evolving Exchange requirements will be critical to payers' success. Our solutions are designed with the flexibility and efficiency payers require to quickly seize market opportunities, while simultaneously improving overall processes," said Joe Marabito, CEO, ikaSystems. "We're very pleased to work with Dell to serve Affinity and enable them to compete and thrive in the exchange environment."

Dell adds it is a provider of healthcare information technology services globally, based on a recent Gartner report.1 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.