Health Insurance Exchange (HIX)

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AHS uses time-tested methodologies to deliver insights and solutions for today’s complex health care landscape.

We are the current contractor for Rhode Island HealthSource, which is the exchange for health insurance and related programs under the Affordable Care Act. In addition to providing state-based contact center services for the HealthSource exchange, we have also conducted various pilot programs.

Our experience and understanding provide numerous benefits to customers. We guide callers to make the best-fit decision from the available options and deliver outstanding performance by using established call center tools. Our excellent operational performance brings along exceptional customer service. Specifically, when supporting callers transitioning through health care delivery systems, we have observed that high levels of confusion are contributed by political discourse and media attention. Our work provides us with several key skills and extensive knowledge of the ACA.

  • A thorough comprehension of how Exchange, Medicaid, and CHIP programs work together.
  • A comprehension of the resemblances and variances in eligibility and enrollment for every category of program.
  • Recognizing how individuals transition between different programs, and how our tools and scripting can assist individuals in staying well-informed.
  • We have changed the programming tools and experience to help predict and adapt to future changes; we have a deep historical perspective on the implementation and background of ACA-type programs.

    • Providence, RI

    These benefits translate into meaningful results for our clients and the callers we serve.

    Benefits to Callers
  • High levels of satisfaction
  • Improved achievement of service level agreements
  • Better educated customers; and.
  • Improved coordination and more clearly specified transitions with Medicaid.
    • Benefits to Clients
  • More capable of fulfilling client objectives and vision.
  • Enhanced collaboration to assist with current requirements and difficulties; and.
  • More capable of assisting customers during times of transition and providing proactive suggestions in response to developing circumstances.

    • AHS has provided me with the opportunity to grow and be challenged. I appreciate being treated as a person, which is rare in today’s working environments, rather than being treated as just a number.

    Patrick McNutt is the manager of