We Work With

Medicaid Plans

Medicaid Plans

NFP Health’s turnkey solution allows smaller, traditional Medicaid plans to seamlessly enter the ACA commercial marketplace.

Our comprehensive model features a robust online shopping portal, as well as a full administrative platform including: shopping, sales, eligibility & enrollment, premium billing, operations, and reporting.


In a recent engagement with Network Health, a 220,000-member health plan that serves Massachusetts residents with low and moderate incomes, NFP Health recently implemented its hosted Medicaid solution. The solution included a private shopping portal, eligibility & enrollment, billing & collections, XML transfer for real-time rate quotes, EDI 820/834, and a standard and customized reporting package. Network Health began offering its first commercial health plan in 2013, after a quick six-month implementation, making them well-positioned for 2014 and beyond.

Deborah Gordon, Chief Sales & Marketing Officer at Network Health, states:

NFP Health was an invaluable partner as we moved from being a subsidized insurance plan only to offering our first commercial product. They were able to provide all the functionality that we needed, from a private shopping portal with real-time rate quotes, to enrollment and billing functionality, to customized reports.

We are pleased that we made the strategic decision to leverage their capabilities for both implementation and ongoing operations, rather than build the required functionality ourselves. Everyone at NFP Health was knowledgeable, flexible and a pleasure to work with, and we launched Network Health Choice on time and within budget. I highly recommend NFP Health!”

To learn more about NFP Health’s Solutions for Medicaid plans, contact us at 888-703-3332 or moc.htlaehpfnnull@ofni.

Proud Member of…

ACAP - The Association for Community Affiliated Plans

NFP Health Case Study

How One Medicaid Plan Prepared for the ACA Commercial Marketplace


ACAP and NFP Health Webinar

Opportunities for Medicaid Plans in the Commercial Market

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

to help you enter the ACA commercial marketplace...

Let’s Talk