IBM Smarter Cities Solution Enables Maryland to Expand Health Insurance Options for Citizens

SOURCE: IBM

ARMONK, N.Y – 4 October, 2012: IBM (NYSE:IBM) today announced that its Smarter Cities software will be used by Maryland for its state-based health insurance exchange solution, currently under development. The company will deliver the eligibility and enrollment capabilities the State needs to enable its citizens to find high quality, affordable health insurance.

Maryland has almost six million citizens according to the latest U.S. Census data. In building the Maryland Health Connection, the Maryland Health Benefit Exchange will work with the Maryland Department of Health and Mental Hygiene (DHMH) and the Department of Human Resources to expand coverage and improve the quality of citizen health benefits. IBM software will support plan comparison, eligibility determination and benefit enrollment.

Maryland chose IBM for its ability to manage the unique requirements of government administered social programs. With more than 3,000 social services processes and rules included, it allows agencies to quickly introduce new programs and supports federal guidelines for Medicaid and public assistance programs.

“Maryland Health Connection will bring affordable health insurance coverage within reach of all Marylanders, creating a transparent marketplace for consumers and small businesses– providing them with information they can trust and understand,” said Rebecca Pearce, executive director, Maryland Health Benefit Exchange. “We continue to work with stakeholders throughout the state to develop a health insurance exchange that builds on the strong systems already in place while developing new paths to expand access to health care coverage.”

With the help of IBM, Marylanders will have a single point of access to evaluate eligibility for exchange plans, Medicaid and the Maryland Children’s Health Program (MCHP), and to determine applicable tax credits. The solution incorporates new standards and enables Maryland to capture and store income data, streamlining the eligibility and verification process for citizens.

“IBM will support Maryland’s goals by providing a  health benefit exchange where citizens can manage all aspects of finding insurance, from determining eligibility and shopping for plans to calculating tax credits,” said Craig Hayman, General Manager, Industry Solutions. “The solution Maryland is putting in place can also serve as a platform capable of supporting future modernization efforts.”

IBM Cúram is part of IBM’s offerings, aimed at helping cities and governments from New York City to Zhenjiang, China boost efficiency and provide better service to citizens. IBM’s work with the State of Maryland adds to a series of IBM contract awards for the facilitation of other statewide health insurance exchanges, including the State of Minnesota.

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http://www-01.ibm.com/software/industry/social-programs/
http://www.ibm.com/smarterplanet/us/en/smarter_cities/overview/index.html?re=spf