Data Sheet

Pega Technology for State Health Insurance Exchanges

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Provides All the Capabilities Necessary to Rapidly Deliver Exemplary HIX Programs

KEY CHALLENGE:
States face a daunting task to deliver a Health Insurance Exchange (HIX) on January 1, 2014. They must support new business models, share information across multiple systems and organizations, deliver effective marketplaces and consumer-focused service, and create a sustainable solution that can respond rapidly to change.


THE SOLUTION:
Pega’s proven healthcare software systems delivers the industry’s most agile technology for streamlining citizen access to health insurance coverage. 

With Pega, states can rapidly implement Exchanges that provide efficient, customercentric shopping, enrollment and service; enable accurate eligibility and premium determination; and facilitate transparent information exchange no matter which HIX approach they take.

Whether you are looking for a complete solution to implement your Exchange or want to complement existing technology and portals, Pega offers the medical management software to fit your needs.


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