Tackle the challenges of government-sponsored plans with Convey’s expertise and understanding of regulatory requirements.
With a focus on plans that include the Health Insurance Exchange, we help issuers like you manage the burdens created by the influx of files for analytical or data correction purposes, the high volume of discrepancies, and Exchange response reporting.
And for issuers with agents selling their Affordable Care Act (ACA) plans, we provide an agent management platform that ensures they are in compliance, ready to sell, and compensated accurately.
Technology and support solutions designed specifically for government-sponsored plans rely on industry-leading processes to deliver results in this continually evolving market that ensure fraud, abuse, and headline risk are minimized.
We adhere to the Seven Elements of an Effective Compliance Program (OIG), and our robust security framework is HITRUST Certified and HIPAA & CMS compliant.
Data lake, artificial intelligence, and open-source big data technologies allow us to ingest data in all formats and types at scale. We then organize them with appropriate data governance mechanisms within our data catalog and provide efficient configuration capabilities to democratize data access and analytics so that you benefit from:
We deploy an interactive analysis of the Department of Health and Human Services (HHS) Summary Report on Risk Adjustment Transfer Payments for the Affordable Care Act market each year. The analysis includes year-over-year (YOY) comparisons of state average metrics, issuer transfer payments, and high-cost risk pool payments.
Convey reconciles approximately 12 million members regularly, including 48% of the ACA market to:
