Connecticut’s newly formed health insurance co-op has contracted with Altruista Health Inc. of Reston, Va., to provide the co-op with software that will identify the sickest patients who are in the greatest need of a disease management or care plan.
Connecticut’s HealthyCT is one of two dozen new, federally recognized Consumer Operated and Oriented Plans across the nation. It is a nonprofit health insurer with a board of directors that will be made up of health-plan members, and profits will be used to either reduce premiums or enhance benefits.
HealthyCT hired Altruista to implement its GuidingCare software and Web-based care management system. The price and duration of the contract were not disclosed.
HealthyCT will compete with private insurers, such as Aetna or UnitedHealthcare, in selling health plans to individuals and small businesses, including those who shop later this year on a health exchange. An exchange is an online marketplace for people who shop individually for health insurance, and states have created health exchanges as a part of federal health care reform.
HealthyCT acquired a contract from the federal government to operate as a CO-OP and received $76 million in start-up and solvency loans in June 2012 after a review process by the U.S. Department of Health and Human Services.