Centers for Medicare & Medicaid ServicesREAD MORE
The Centers for Medicare and Medicaid Services (CMS) was tasked with implementing and supporting the Health Insurance Exchanges as mandated by the Affordable Care Act (ACA).
They needed a partner with substantial analytic resources to create robust, error free data, investigate problems, validate information and support all operations under the ACA.
CMS chose ElectrifAi (Opera Solutions) as its Operational Analytics contractor in 2012. ElectrifAi architected CMS’ curated analytics databases and generated a reporting suite to ensure data integrity across the Marketplace’s enrollments, claims and payments, track the status of all ACA program areas and provide data driven decision support.
Opera’s comprehensive suite of analytics at CMS include:
- Profiling to monitor data over time and support policy decisions
- Outlier Detection to detect anomalies & enable critical decision making
- Advanced Analytics to help CMS maintain the integrity of each program
Members Enrolled in Health Plans for 2019 on HealthCare.gov
Records Aggregated & Processed Monthly for Payments & Enrollments
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