logo

Health Insurance Exchanges

Consumers rely on state insurance exchanges to help them make important decisions about their healthcare. CSS works with those exchanges to provide tools that support consumers' decision-making with information about cost, quality, and access.

  • Cost Modeling. CSS works with State Health Insurance Exchanges to develop actuarial cost models that allow consumers to compare premiums and anticipated out-of-pocket costs across plans. This "actuarial" approach is the best way to compare plans on cost, taking into account not just premiums but the additional out-of-pocket costs consumers may experience because of deductibles, copayments, coinsurance, and other terms.

  • Public Quality Reporting Systems. CSS has worked with Federal Agencies, State Health Insurance Exchanges, and coalitions of community organizations to design and implement public quality reporting systems. These systems provide meaningful information to consumers to help them compare available doctors or health plans on the basis of quality using HEDIS measures, CAHPS data, and other data sources.

  • Public Quality Reporting Systems. CSS has worked with Federal Agencies, State Health Insurance Exchanges, and coalitions of community organizations to design and implement public quality reporting systems. These systems provide meaningful information to consumers to help them compare available doctors or health plans on the basis of quality using HEDIS measures, CAHPS data, and other data sources.

  • Health plan comparison tools. CSS creates tools that compare cost, provider participation, and quality of health care plans. This includes analysis of quality measures and comparison of health plans on a variety of features to aid consumers in choosing a plan that best fits their needs.

  • Provider Directories. CSS works with State and Private Health Insurance Exchanges to build directories of providers so that consumers can compare plans based on provider participation.

You might also be interested in: