Gain Small Group and Individual Plan Market Share

Leverage eACASync™ to enable a connected benefits journey for the ACA market.

Build Small Group and Individual Qualified Health Plans (QHPs)
up to 70% Faster

Manage Products in One Place

Create accurate Small Group (Small Health Options Program — SHOP) and Individual benefit plans forming a single source of truth.

Simplify ACA Filings

Accelerate QHP plan development and simplify ACA filings for multiple states.

Robust Collaboration and Audit

Enable cross-functional teams and business processes by activating out-of-the-box workflows with audit management across unlimited users.

Build Small Group and Individual QHP Plans up to 70% Faster

Manage Products in One Place

Create accurate Small Group (Small Health Options Program — SHOP) and Individual benefit plans forming a single source of truth.

Simplify ACA Filings

Accelerate QHP plan development and simplify ACA filings for multiple states.

Robust Collaboration and Audit

Enable cross-functional teams and business processes by activating out-of-the-box workflows with audit management across unlimited users.

Compliance With QHP PBTs, SBCs, and SOBs

Errata-Free Compliance

Achieve 100% compliance with any ACA QHP plan materials, including Plans and Benefits Templates, SBCs, SOBs, Handbooks, and Booklets, by leveraging a 508-compliant document automation engine.

Drive Business Growth With Data Driven Decisions

Real-Time Reporting and Insights

Take advantage of the full suite of standard and custom reporting and analytics options across the platform.

Drive Business Growth With Data Driven Decisions

Real-Time Reporting and Insights

Take advantage of the full suite of standard and custom reporting and analytics options across the platform.

Drive Integrated Operational Efficiency of Your Qualified Health Plans

Automate Claims Configuration

Keep your claims system always in sync with ACA QHP benefits information connected out-of-the-box.

Accelerated Sales Cycle

Digitize sales experience for Small Groups by fully integrating benefits information with your CRM (Salesforce, MS Dynamics, etc.) ecosystem.

Seamless API Integrations

Take advantage of hundreds of out-of-the-box API end points to integrate with other areas of your architecture ecosystem.

Listen to Our Customers

Frequently Asked Questions (FAQs)

Here are the answers to the most frequently asked questions about implementing end-to-end ACA QHP benefit plan management solution and partnering with Simplify Healthcare.

What is a Qualified Health Plan benefit management?

Qualified Health Plan benefit management is an end-to-end ACA compliant benefit plan management and document generation process for submitting the Qualified Health Plans to the government for approval within specific deadlines. Most health plans meet the affordable care requirements manually and with outdated methods such as spreadsheets, PDFs, and email for plan configurations. Qualified Health Plan benefit management solution streamlines the QHP benefit requirements with intelligent decision support for product development and document generation to boost operational efficiencies by up to 75%.

What are the challenges with traditional ACA benefit plan build processes?

Traditional ACA benefit plan build processes lead to last-minute rush, manual efforts to manage and audit plans, and inaccuracies in data. Manual and outdated methods such as spreadsheets, documents, and emails to configuring your plans often create errors and reduce overall operational efficiency. The traditional processes can lead to various challenges, such as:

  • Managing version control issues.
  • Core-Admin systems may require manual keying of the data, which may lead to costly errors.
  • Due to version control issues and other factors, critical downstream applications get different versions of benefits information.
  • Manual processes make the ACA benefit plan build processes slow, labor-intensive, expensive, and creates downstream errors.
  • Benefit teams often lose the opportunity to perform productive tasks such as analyzing the market and consumer trends to offer improved products.

Why use an ACA compliant benefit plan management solution?

eACASync™ is an automated ACA compliant QHP benefit plan management solution for Individual and Small groups. It enables health plans to automate and streamline ACA benefit plan build, benefit requirements, manage CMS updates, and auto-generate QHP plans, Summary of Benefits (SOBs), Summary of Benefits Coverage (SBCs), and Benefit Templates. Health plans can now focus on building the right products v/s, ensuring that all the Excel grids and Word documents are consistent.

How can you automate Individual and Small group ACA compliant benefit plan management?

eACASync™ is the only solution in the market built with a full understanding of ACA compliant Qualified Health Plans benefit requirements. With eACASync™, health plans can do the following:

  • Create a single source of truth for all benefits information.
  • Smoothly configure plans to comply with guardrails for regulations and business policies via centralized business rules.
  • Implement any or all modules in the order of the most critical pain points and priorities.

With pre-configured QHP plans, SBCs, SOBs, and benefits template health plans can increase operational efficiency by up to 75% and decrease manual errors by up to 90%.

What kind of documents can be generated with ACA compliant Qualified Health Plans benefit management solution?

With eACASync™, health plans can auto-generate QHP plans, SBCs, SOBs, and benefits template. They can seamlessly manage CMS changes without any last-minute hassle. Annotate and track changes for regulatory and business communication content from a single source.

What's Trending

Get the latest updates from Simplify Healthcare. Discover industry-leading ideas and deep insights in the form of blogs, podcasts, webinars, case studies, whitepapers, events, and more.
Top of Mind: Driving Growth at Scale for Individual and Small Group Healthcare Payers

Join us on July 14 to explore how Individual and Small Group health plans can accelerate speed to market by leveraging the latest technology in the ACA market to drive growth at scale for Individual and Small Group healthcare payers.

Read more
Managing the ACA in Plan year 2021/2022 with eACASync™

Despite repeated efforts to overturn or curtail it, the Affordable Care Act (ACA) remains in full force in 2021. Discover how healthcare payers can improve compliance with the ACA for Individual and Small group benefit plans with eACASync™.

Read more
Simplify Healthcare launches eACASync™, industry’s first automated solution to manage the end-to-end needs of ACA compliant Qualified Health Plans (QHP)

Simplify Healthcare, a leading healthcare technology solutions company providing end-to-end solutions for Health Plans, announced today that they’ve launched the industry’s first business-rules driven solution, eACASync™.

Read more