Deltek, a company that offers support services for vendors that are trying to win government contracts, is already tracking about 140 state and federal opportunities linked to the new health insurance exchange system.
More than 40 states have put a request for proposal (RFP) or other bid solicitation document for Patient Protection and Affordable Care Act (PPACA) exchange contracts, and some states — including states not known for the love of PPACA — already have awarded exchange-related contracts.
In July, for example, Deltek found that most states had prepared or were preparing RFPs for the eligibility system upgrades that states will need to connect state-administered health insurance programs, such as Medicaid, to the PPACA exchange system.
At least six states — Colorado, Idaho, Kansas, New Mexico, Nevada and South Carolina — already had awarded eligibility system implementation contracts.
Activity has been heating up since June, when the Supreme Court let a key PPACA provision — a provision that is set to impose a tax on individuals who fail to buy a minimum level of health coverage — stand, and activity came to a boil after the November elections, when voters returned Barack Obama to the White House and increased the number of Democrats in the Senate.
PPACA calls for the exchanges — Web-based health insurance supermarkets — to be ready to sell high-quality, standardized coverage to individuals and small groups by Oct. 1, 2013. The exchange plans are supposed to start taking effect Jan. 1, 2014.
In addition to helping users find commercial coverage, the exchanges are supposed to be equipped to help individuals who are eligible for government health programs, such as Medicaid, to enroll in those programs.
Amanda White, a Deltek state exchange RFP analyst, said in an interview that states and their top-level exchange contractors are looking for planners, quality assurance testers and marketing help as well as exchange construction managers.
California, for example, has issued a $90 million exchange marketing RFP, White said.
“There are so many different components to the health exchange system,” she said.