Benu has a proven track record in establishing successful long-term Healthcare Exchanges.  Participating health plans are typically competitors outside of the Healthcare Exchange.  As a result, carefully selecting participants, defining expectations, providing guidance and ensuring appropriate checks and balances are critical elements to launching a successful Healthcare Exchange.

Benu’s comprehensive Design and Development components include:

Strategy Development
Working with participants, Benu creates the Exchange roadmap, which includes defining the vision, goals, strategic direction, target markets, distribution strategy, product offerings and launch strategy.  Benu also establishes business rules for ongoing Exchange operations to mitigate any anti-trust concerns.

Contract Execution
Benu has all the necessary legal templates and the expertise to coordinate the appropriate agreements between the various Exchange participants.

Exchange Process Guide
Benu creates and provides comprehensive process guides to Exchange participants. These guides outline roles and responsibilities and ongoing processes and rules for eligibility requirements, underwriting, contribution methodology, sales, operations, Service Level Agreements (SLAs) and reporting.

Risk Adjustment
Benu customizes its Risk Adjustment solution with Exchange participants to meet individual health plan and regulatory requirements.

Regulatory Compliance Requirements
Benu confirms that the Exchange meets required regulatory requirements by managing the development, filing and approvals of applications, contracts, process guides, rating methodology, risk adjustment and marketing materials.