Brokers are able to utilize the API to service clients at previously unattainable levels.  Not only does EDE support the quickest direct enrollment possible — reducing time by up to 35 percent — it gives brokers the power to service clients throughout the plan year. The process of moving to a State-Based Marketplace may be gradual, and a number of states started the process by taking over vital functions such as plan management. Enhanced Direct Enrollment (EDE) is a new standard created by the Centers for Medicare and Medicaid Services (CMS) that will simplify enrollment in health plans sold through the Federally Facilitated Marketplace (FFM) for the 2019 Open Enrollment Period, allowing brokers and consumers to start and finish their health insurance enrollments on a single website. Enhanced direct enrollment is a new health insurance pathway developed by the Centers for Medicare & Medicaid Services (CMS). Want to learn more about what GetInsured can do for you? EDE provides additional opportunity to control the eligibility determination functions. Convenient pre-population of portions of the enrollment application, courtesy of the integration with existing plan shopping and renewal flows; Customizable branding so partners can maintain the look and feel of their website throughout the enrollment process; and. Enhanced Direct Enrollment (EDE) is a new standard created by the Centers for Medicare and Medicaid Services (CMS) to simplify enrollment in health plans sold through the Federally Facilitated Marketplace (FFM) for the 2019 Open Enrollment Period, allowing brokers and consumers to start and finish their health insurance enrollments on a single website. GetInsured was a pioneering participant in the early CMS discussions on how to best build an Enhanced Direct Enrollment (EDE) pathway. Self-service online enrollment conversion rates will be greatly improved as a result of the enhanced user experience. With GetInsured’s Phase 3 EDE-as-a-Service, health insurance carriers can streamline their enrollment processes for every individual and household, no matter how complex, across the FFM states where they are active. Health Centers; Information by Medical Specialty; Free Homepages; Health Websites Beyond enrollment, consumers can also make changes to their plans through GetInsured’s system during any special enrollment period (SEP) without having to log in to HealthCare.gov. With EDE, the power of service is once again back in the hands of the broker. The system uses a simple, intuitive and carrier-branded interface for all consumers, whether they are Advanced Premium Tax Credit (APTC) eligible or off-Exchange enrollees. Contact us to learn more. Detailed data output supporting better reporting and analysis of the enrollment process. Enhanced Direct Enrollment (EDE) allows insurers to integrate directly with Healthcare.gov. See certified enrollment partner websites in your state. GetInsured powers up Nevada state health insurance exchange to kick off open enrollment . But not all EDE pathways are equal. With no redirect for all enrollment cases the enrollment process is faster, allowing brokers to enroll more consumers during the limited OE period. The company expects the EDE technology will continue to evolve and improve as GetInsured, CMS and EDE partners collectively learn more about what works and as the U.S. Department of Health and Human Services continues to shape the Affordable Care Act. EDE can also be incorporated into broker tools such as GetInsured’s. MOUNTAIN VIEW, Calif., July 23, 2019 /PRNewswire/ -- GetInsured, a market leader in individual health insurance e-commerce, today announced it is the first company to pass the official Center for Medicare & Medicaid Services (CMS) audit and has been approved to offer Phase 3 Enhanced Direct Enrollment (EDE) technology. Manage marketplace documentation on behalf of their client such as downloading 1095 tax forms, something previously unavailable to brokers. DOI: 10.1377/hblog20181203.410585 Caption Instead of sending clients to the FFM call center, all enrollment and service tasks can happen within GetInsured’s AgentExpress broker platform. “The development of our EDE Application Programming Interface (API), as well as its subsequent CMS approval, demonstrates GetInsured’s ability and commitment to lead the industry with trailblazing innovations that make health insurance enrollment easier. Drop us a note and we’ll get back to you shortly. Find the top-ranking alternatives to GetInsured EDE (Enhanced Direct Enrollment) based on 90 verified user reviews. In June 2018, the Federally-Facilitated-Marketplace (FFM) is expected to launch new technology known as Enhanced Direct Enrollment (EDE) – which will allow consumers and agent/brokers to shop, enroll, and manage policy changes to Marketplace health products, without ever having to create an application on Healthcare.gov or contact Marketplace Customer Service. GetInsured announces first to market phase 3 enhanced direct enrollment (EDE) CMS platform . Since eligibility determinations are made on HealthCare.gov, any policy changes had to be processed through the FFM, while billing remained a responsibility of the carrier, leaving consumers not sure where to go for help. EDE is a new program that fixes issues consumers in Federally Facilitated Marketplace states have faced over the last few years in the former Direct Enrollment Process. Phase 3 is the most robust EDE option available, offering the most benefits to users and allowing all household compositions to take advantage of simplified health insurance enrollment. On July 23, 2019, GetInsured became the first company to be approved to go live with Phase 3 Enhanced Direct Enrollment technology. Effectuate client plans by paying initial premium. Additionally, it enables carriers to provide ongoing customer service, which was previously impossible because they had to send customers to the marketplace for assistance. Apply & enroll in 2021 coverage today. MOUNTAIN VIEW, Calif., July 23, 2019 /PRNewswire/ — GetInsured, a market leader in individual health insurance e-commerce, today announced it is the first company to pass the official Center for Medicare & Medicaid Services (CMS) audit and has been approved to offer Phase 3 Enhanced Direct Enrollment (EDE) technology. Explore. HealthSherpa makes that a reality for you. Direct enrollment puts barriers between the consumer and the marketplace by delegating the plan shopping experience to private (and self-interested) entities. Enhanced Direct Enrollment-Wikipedia. Specifically it allows consumers — as well as agents and brokers on their behalf — to start and finish their health insurance enrollments on a single shopping site, eliminating the redirect to and from HealthCare.gov (the so-called “double-redirect”) required in previous years. GetInsured was a pioneering participant in the early CMS discussions on how to best build an EDE pathway. It provides states with an alternative to relying partly or even entirely on the FFM. Approved partners include GetInsured, HealthSherpa, Stride Health, and GuideWell Connect. Such tools are designed to increase agent efficiency by providing an integrated EDE workflow, customer relationship management and support platform. The new proxy direct enrollment pathway, which will be available for 2018 enrollments, functions like the envisioned enhanced direct enrollment process but is apparently a … With EDE, the power of service is once again back in the hands of the broker. We power the best health insurance e-commerce experience. On January 21, 2020, HealthSherpa announced they had enrolled over 1.2 million consumers using full Phase 3 Enhanced Direct Enrollment technology, representing 14% of active Healthcare.gov enrollment. Special enrollment periods are triggered by life events like moving, losing a job and having a baby. Tag: Enhanced Direct Enrollment Apr 18 2019. Prior to the launch of the Affordable Care Act (ACA), consumers could call their carrier to get help with enrollment, payments, changes to their plan, and updates such as an address change. Easily process life changes, SEP enrollments, and renew coverage. Phase 3 is the most robust EDE option available, offering the most benefits to users … EDE is an important step in that direction. Enhanced Direct Enrollment (EDE) is a technology that allows private entities, including insurance carriers and web-brokers, to directly enroll consumers in Qualified Health Plans through the [[HealthCare.gov|Health Insurance Marketplace]] without redirecting consumers to Healthcare.gov. Easily renew their coverage during open enrollment. Direct Enrollment Proxy (DEP) rolled out during the 2017PY Open Enrollment. GetInsured, a market leader in individual health insurance e-commerce, announced it is the first company to pass the official Center for Medicare & Medicaid Services (CMS) audit and has been approved to offer Phase 3 Enhanced Direct Enrollment (EDE) technology. MOUNTAIN VIEW, Calif., July 23, 2019 /PRNewswire/ — GetInsured, a market leader in individual health insurance e-commerce, today announced it is the first company to pass the official Center for Medicare & Medicaid Services (CMS) audit and has been approved to offer Phase 3 Enhanced Direct Enrollment (EDE) technology. This will create an email alert. With no redirect for all enrollment cases the enrollment process is faster, allowing brokers to enroll more consumers during the limited OE period. If you are a member of the press and have any questions about GetInsured, please email: press@getinsured.com. “New Federal Guidance On Enhanced Direct Enrollment And Basic Health Program," Health Affairs Blog, December 3, 2018. Before EDE, the direct enrollment process was cumbersome, often time consuming and plagued by high drop-off rates during the double-redirect, according to industry observers. The Centers for Medicare & Medicaid Services (CMS) released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as … Shop for and enroll in on-exchange plans all on one branded experience; Submit required documentation to the marketplace, such as proof of income and citizenship status, the lack of which could cost a consumer their eligibility. Enhanced direct enrollment is a new way for consumers to apply for and enroll in health coverage though the Federally-facilitated Exchanges (FFE) and State-based Exchanges that use the Federal Platform (SBE- FPs) without visiting HealthCare.gov. GetInsured is working with CMS to complete the final steps to go live with its Phase 3 EDE platform. Additionally we’re proud to be the first to release a phase 3 implementation, which ensures all Americans have access to simpler enrollment avenues,” said GetInsured CEO and Co-Founder Chini Krishnan. CCIIO's guidance comprises three phases for the Enhanced Direct Enrollment pathway, depending on an insurer or web broker's ability to address complicated application scenarios, Ms. Keith writes. We power the best health insurance e-commerce experience. “The CMS audit process allowed us to take a very close look at all aspects of our enrollment application and policy management tools,” said Sanjeev Jorapur, Vice President of Engineering at GetInsured. Using the company’s best-in-class technology, while still adhering to CMS regulations and best practices for consumer experience and security, GetInsured’s solution allows carriers, brokers and states across the country to easily utilize EDE during the six-week FFM open enrollment period. EDE can also be incorporated into broker tools such as GetInsured’s AgentExpress. Additionally, GetInsured’s EDE platform will support: To gain approval, GetInsured spent more than 10 months undergoing an exhaustive two-part independent audit; first completing a privacy and security review of the EDE application, then a meticulous business audit of the enrollment application. The advancement enables consumers to buy health insurance through federal exchanges without having to go directly to government-sponsored websites or call a … GetInsured is working with CMS to complete the final steps to go live with its Phase 3 EDE platform. The white-labeled solution will be offered as a simple set of application programming interfaces (APIs). Increasingly, States are taking control over their own destiny and building a State-Based Marketplace (SBM), lowering costs to the state in the process. The Phase 3 implementation enables all households — including populations such as American Indians, non-tax-filers and non-citizens — to take advantage of the new streamlined enrollment process. After the ACA was implemented in 2013, the customer service model changed, requiring consumers in FFM states to deal with HealthCare.gov. HealthSherpa provides a fully functional white-label deployment of EDE, supporting consumers, agents, internal support and sales … In an effort to stabilize the health insurance market and provide additional ways for consumers to access coverage, the Center for Consumer Information and Insurance Oversight (CCIIO) and the Centers for Medicare and Medicaid (CMS), have launched a new streamlined and simplified enhanced direct enrollment (EDE) process. 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