- Leading New York Health Plan to
leverage Dell Services’ Business Process Outsourcing (BPO) services
and ikaSystems’ solutions to launch HIX offering
Affinity Health Plan (Affinity), an independent, not-for-profit
organization offering quality healthcare coverage to New York area
residents, has selected Dell Services and ikaSystems, a premier
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 will
automate and streamline Affinity’s administrative processes on the
Health Plan Marketplace to enable the plan to successfully
participate in the Exchange.
Affinity, headquartered in the Bronx neighborhood of New York,
has been working closely with community health centers and other
primary care practices to offer affordable, high quality health
care coverage to New York residents for more than 25 years.
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:
- ikaExchange – delivers rich
functionality via a highly configurable, easily maintained
technology platform to help health plans meet the complex demands
of the new HIX environment
- ikaClaims – automates claims
administration to reduce errors and administrative and IT expenses
while maximizing flexibility
- ikaEnterpriseService – provides
constituent-facing service representatives the tools and
information they need to provide exceptional member service
- ikaBilling – delivers a level of
accuracy that reduces time spent on manual processes and rework,
improving productivity and member satisfaction
- ikaPortals – enables payers to
give members and providers control over data and processes that
directly affect them in a real-time, HIPAA-compliant
environment
“We are able to apply our deep healthcare expertise and exchange
experience to help Affinity further realize its mission by building
the range of capabilities needed to operate on the exchange.
Updated technology approaches — including more modular and scalable
cloud-based platforms like ikaSystems’ solutions — will help
Affinity stand out in the new marketplace,” said Sid Nair, Dell
Services Vice President and Global General Manager, Healthcare
& Life Sciences.
“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 is the leading 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.
About ikaSystems
ikaSystems delivers business automation and process solutions
that transform how health plans conduct commercial, Medicare,
Medicaid, Exchange, and ACO business. Our solutions automate key
processes for sales, marketing, regulatory compliance, claims
administration, customer service, quality management, and revenue
optimization – all on an integrated, Web-based platform that’s fast
and scalable. Partner with us, and take a bold step forward: one
that can lower costs, increase agility, and improve constituent
satisfaction for all your lines of business. For more information
visit us at www.ikasystems.com.
About Affinity Health Plan
Affinity Health Plan is an independent, not-for-profit
organization offering quality health care coverage to underserved
New Yorkers. Affinity is proud to be an approved health plan for
the NY State of Health: The Official Health Plan Marketplace, and
to continue providing programs sponsored by New York State Medicaid
managed care and Medicare. Founded in 1986, Affinity serves over
265,000 members in New York City, Nassau, Suffolk, Westchester,
Rockland and Orange counties. For more information, visit
www.affinityplan.org or follow Affinity on Facebook and
YouTube.
Dell World
Join us at Dell World 2013, Dell’s premier customer event
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About Dell
Dell Inc. (NASDAQ: DELL) listens to customers and delivers
innovative technology and services that give them the power to do
more. Dell Services develops and delivers a comprehensive suite of
services and solutions in applications, business process,
consulting, infrastructure and support to help customers
succeed.
Dell is a trademark of Dell Inc. Dell disclaims any proprietary
interest in the marks and names of others.
1 Gartner, Inc., Market Share: IT Services, 2012, Kathryn Hale
et al, March 29, 2013
Media Contacts:DellAmanda Engler,
512-723-7381amanda_engler@dell.comorDell ServicesCorie Pierce,
972-577-3430corie_pierce@dell.comorAnalyst Contact:Dell
ServicesScott Greenwald, 972-577-5942scott_greenwald@dell.com
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