Welcome to NFP Health

Your Premier, Secure, Experienced, Expandable, Flexible, Proven Premium Billing Solution

It’s Not Just About Technology

NFP Health’s unique background both as a company and team of people behind the scenes, includes a few unique factors that differentiate them from companies offering similar exchange solutions.

The first unique factor that differentiates NFP Health from other potential solutions is their experience in owning and operating one of the largest private multi-carrier health benefits exchanges in America, HSA Insurance, for over 40 years.

Second is the tacit expertise of NFP Health’s team in working directly with some of the nation’s leading health plans, as well as two of the most successful state-based exchanges and certain hybrid government insurance benefits programs.

And third, is the technology background of the development and implementation teams, which have supported insurance exchanges through the transition from client/ server architectures to more modern EDI and web services-driven systems of today. Their team represents a set of people with proven, real-world technological experience who have been exposed to nearly every scenario and configuration of health insurance shopping, enrollment, billing and collections.

The ultimate success of an exchange hinges on trust.

Can you trust your billing system?

NFP Health for Proven Success

Whether you are:

  • A small health or Medicaid plan looking to offer commercial products on a federal or a state-based exchange;
  • A larger health plan evaluating a ‘buy versus build’ decision to enhance or replace a legacy premium billing system with one that is ACA compliant;
  • A new federally facilitated CO-OP trying to minimize investment in systems and staff; or
  • A systems integrator working with a state-based exchange and are looking for a partner with proven financial management expertise…

You will find that NFP Health has unmatched expertise in the design, implementation and operation of Premium Billing Solutions in all of the above scenarios. They have built and support solutions for federal and state-based exchanges, multi-carrier private exchanges, federally-facilitated CO-OPs and some of the nation’s leading health plans. NFP Health can support your needs as well.

The NFP Health team currently supports the ongoing financial management operations of HSA Insurance, HealthSource RI, DC Health Link as well as individual carriers participating on HealthCare.gov.

NFP Health continues to be the leader in premium billing solutions for both public
and private health benefits exchanges. Their flexible architecture means that they can quickly implement a premium billing solution customized to meet each client’s unique needs, on time, on budget and most importantly, with proven, reliable results.

We are confident that we can support your needs as well.

Featured Content

Read the new NFP Health Case Study “How One Medicaid Plan Prepared for the ACA Commercial Marketplace” to find out how Network Health, a Massachusetts health plan that serves more than 222,000 members with low and moderate incomes, worked with NFP Health to enter the commercial marketplace in advance of health care reform and the changes that were coming in 2014.

NFP Health’s turnkey solution allows traditional Medicaid plans, such as Network Health, to seamlessly enter the ACA Commercial Marketplace. Our comprehensive model features a robust online shopping portal, as well as a full administrative platform including: enrollment & underwriting, premium billing, call center and EDI.

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Featured Story

June 2014 – NFP Health is a Proud Sponsor of the Annual Invite-only CEO Summit for the Association for Community Affiliated Plans (ACAP)

Boston, MA — ACAP’s annual invitation-only CEO Summit is ACAP’s signature event for Medicaid-focused health plans, bringing together leaders of Medicaid managed care plans, policymakers, and other thought leaders in health care to discuss common challenges and highlight best practices in Medicaid.

NFP Health has operated one of the nation’s premier multi-carrier health benefits marketplaces in New England over the past 40 years, working with a wide range of health plan partners.

Recently, NFP Health was selected by Network Health Plan to provide a full administrative platform, including a robust shopping portal, so that the Medicaid plan could enter the commercial marketplace.

CEOs attending the event will receive a copy of the NFP Health Case Study “How One Medicaid Plan Prepared for the ACA Commercial Marketplace” as part of their materials for the event, which illustrates how Network Health, a Massachusetts health plan that serves more than 222,000 members with low and moderate incomes, worked with NFP Health to enter the commercial marketplace in advance of health care reform and the changes that were coming in 2014.

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Chose a partner who is secure, experienced, expandable, flexible, proven

and rest assured your business is in good hands

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