Massachusetts, the first health insurance exchange in the nation and the model for the ACA, went through two traditional procurements and an extensive nation-wide analysis of state partnership offers before settling on the IdeaCrew solution through a partnership with HBX. IdeaCrew successfully developed and deployed a fully customized small group platform for Massachusetts in just 5 months. Using an Agile process that heavily engaged stakeholders with both the District and Massachusetts Exchanges, IdeaCrew phased in functionality, first with a soft-launch and then full-system go live, which led to a drama-free, cost-effective implementation. Then, Massachusetts asked IdeaCrew to take on a new challenge this summer—convert all small businesses still using its legacy platform to the Enroll App platform in the middle of their plan years, without resetting any accumulators with the carriers (such as deductibles). Once again, motivated by a desire to help its government customer effectively carry out its mission, IdeaCrew delivered, completing the seamless migration to Enroll App in July. This successful transition allowed the Massachusetts Health Connector to terminate its contract with its legacy vendor, yielding a substantial savings.
Deploying the IdeaCrew platform in Massachusetts also led to financial savings for the District. Because both states use the same underlying technology, they save costs through a shared services model. For example, a single call center supports both the DC and Massachusetts small group exchanges. Costs are divided between the two states based on percentage of enrollment. Fees for CRM licenses are similarly allocated between the states, as are premium aggregation services. In fact, due in part to sharing services and to other reductions in ongoing operations and maintenance costs, the HBX was able to lower the assessment it charges on health insurance carriers to fund its operations by 10%(from 1% to 0.9%). The IdeaCrew Team is well versed in establishing a shared services framework and working within its structure.