hCentive

The company's core business revolves around providing cloud-based platforms that simplify the administration and enrollment processes for health insurance. hCentive primarily serves government agencies, health insurance carriers, and large employers, offering solutions to create and manage health insurance marketplaces. Its business model is centered on licensing its software-as-a-service (SaaS) platforms and providing related implementation and support services. Revenue is generated through platform fees, per-member-per-month charges, and service contracts for customization and maintenance.

hCentive developed a comprehensive suite of products, including the WebInsure State platform, designed for state-based health insurance exchanges, and the WebInsure Private Exchange, aimed at brokers and employers. These platforms provide functionalities for shopping, enrollment, billing, and ongoing benefits administration, effectively streamlining what is often a convoluted process for both consumers and administrators. A key achievement for the company was its selection by several U.S. states, including New York, Colorado, and Massachusetts, to build and operate their health insurance marketplaces following the Affordable Care Act. This demonstrated the platform's capacity to handle large-scale, complex, and highly regulated environments. In 2021, the digital transformation and consulting firm UST acquired hCentive, a move aimed at enhancing UST's digital healthcare capabilities and integrating hCentive's deep domain expertise into its broader service offerings.