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The Obama administration has given Massachusetts the green light to continue developing its state-based health insurance exchange for a November rollout, signing off on the new website and allowing the state to abandon preparations for possibly joining the federal healthcare.gov marketplace.
State health officials, including the governor's special project manager Maydad Cohen, traveled to Washington last week for a meeting with leaders at the Centers for Medicare and Medicaid Services where they demonstrated the latest capabilities of the new site using off-the-shelf software developed and customized by hCentive.
"The decision we've made and the decision CMS supports is to move forward exclusively with hCentive," Cohen said on a conference call Friday morning, expressing optimism that the new site would deliver a "smooth consumer experience" for residents when it goes live Nov. 15.
Having passed this latest test, Cohen said the Massachusetts Health Connector Authority would stop its simultaneous preparation to join the federal health insurance marketplace, which was intended to be a fallback plan in case CMS or state officials doubted the potential for the new state site to be operational by the start of the next open enrollment period in 99 days.
The benefits of retaining state control of the exchange, according to Cohen, is that the state can continue to incorporate the "state wrap" program into its insurance offerings, providing additional subsidies beyond those available through the Affordable Care Act for low-income individuals to purchase health coverage.
The latest version of the web exchange also works as a program determination tool for people who might be eligible for either an ACA plan or MassHealth and is able to communicate directly with vendor Dell for subscriber billing and enrollment. Customers will still receive bills in the mail, but state officials said they hope to make online payment available as an option in 2015.
Some of the new functionality of the website will be demonstrated during the Health Connector Authority board meeting on Thursday.
"As much as I'd like to I can't breathe a big sigh of relief now. No one on our team can," Cohen said.
In addition to making sure the hCentive powered website is ready for use in November, health officials are also preparing for a massive outreach campaign to at least 450,000 Massachusetts residents who may be eligible for subsidized insurance and will need to apply through the website. That population includes the roughly 100,000 people still enrolled in Commonwealth Care and the more than 250,000 who were placed in temporary MassHealth coverage after the botched rollout last year of the Connector exchange website made it difficult to place people in appropriate health plans.
Cohen said the campaign will include outreach through social, ethnic and traditional media, door knocking, health fairs and robocalls.
State officials still do not have a final cost estimate for the development of the new website, and won't know for sure how much they plan to request from the federal government until after a new contract with IT vendor Optum is finalized. Cohen said he expects negotiations to be wrapped up "soon."
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