Open Enrollment Staffing Preparedness Checklist for Government Plans

Open Enrollment is unpredictable—your staffing shouldn’t be. With AxisConnect from HealthAxis, you gain a ready-to-deploy team of experienced professionals trained to handle spikes in enrollment, eligibility, and member inquiries. Our business process outsourcing solution scales with your needs so your internal team doesn’t burn out—and your members don’t wait.

Inside, you'll uncover:

How to avoid staffing shortfalls

What it takes to enhance member satisfaction

How to improve operational efficiency

How to ensure compliance and audit readiness

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Built for Complexity

You need flexibility before, during, and after Open Enrollment. AxisConnect offers rapid onboarding, multilingual support, and post-enrollment continuity, helping you maintain momentum through SEP periods and Q1 clean-up. Our team scales up fast—so you don’t slow down.

Open Enrollment Requires Proactive Planning Government health programs must begin early, with data-driven forecasting and staffing strategies to avoid operational bottlenecks.

Flexible Staffing is Essential to Manage Volume Spikes Seasonal surges in enrollment and member support require scalable solutions that can adapt quickly to changing demand.

Compliance and Training Can’t Be Overlooked Regulatory oversight from CMS, state Medicaid agencies, and ACA mandates demand specialized, compliant support from day one.

Business Process Outsourcing (BPO) is a Strategic Advantage Partnering with AxisConnect enables rapid deployment of trained professionals who seamlessly integrate with your workflows—reducing burden, improving service, and containing costs.

One size doesn’t fit all. That’s why AxisConnect offers configurable workflows and staffing models tailored to your plan's unique OE needs. Whether you use AxisCore or another platform, our experts integrate directly into your operations—so you get support that feels in-house without the overhead.

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See What Our Clients Are Saying

Our experience with HealthAxis spans many years and has been very satisfying. HealthAxis and our dedicated team have consistently demonstrated professionalism, and they have continued to perform at a high level. Their ability to adapt to our needs as it relates to Part B administration has been more than flexible and accurate. HealthAxis has displayed an ability to learn our clients' plans and help to ensure compliance with the ever-changing Medicare landscape. I truly appreciate and value the relationship with HealthAxis.

TPA Client

Vice President & General Manager

The team at HealthAxis is extremely helpful and informative. Their knowledge base for ideas, problem solving, and delivery are done so with outstanding quality and readiness. HealthAxis recognizes our concerns and they address them clearly and concisely by demonstrating superb product and system knowledge which earns our trust in their abilities.

Sharon Abney

Chief Operating Officer
InsuranceTPA.com Administrators

Over the course of our 22-year relationship, HealthAxis has provided exceptional service and support to our team. We value the collaboration and knowledge that their team brings to the table to address our concerns timely and efficiently.

Jennifer Moore

Vice President of the Group Health Program
NTCA–The Rural Broadband Association

HealthAxis has consistently met the Medicare supplement processing needs of our organization since January 2014. We can rely on them to process timely, error-free results. They maintain open communications and are very responsive to our processing and/or programming needs. We have asked for many processing upgrades over the years, and we have never had a request be denied or not be completed within time constraints. Questions are given top priory and solutions to issues are presented without prompting. Consistency is paramount, with minimal changes to the staff that supports us over the years. Overall, the relationship has been one in which we can truly trust they will meet the needs of our organization and policyholders.

Kevin Roberts

Sr. Vice President of Insurance Operations
United Commercial Travelers of America

The HealthAxis platform is a user-friendly system that allows for a smooth communication between each application. This allows for multiple departments to handle member customer service in an efficient manner.

Freedom Health and Optimum HealthCare

Bridge the Gap: Enhancing Operational Excellence

AI in claims administration plays a pivotal role in eliminating processing backlogs, alleviating call center surges, and accelerating overall claims timelines.

Eliminate Claims Backlogs

By automating repetitive tasks like data validation, eligibility checks, and straightforward adjudications, AI reduces the volume of claims requiring manual review—freeing up teams to handle only the most complex cases.

Alleviate Call Center Surges

With AI handling routine claim status updates and documentation reviews, call centers experience fewer surges, and agents can dedicate their time to high-value interactions.

Improve Timelines

The result is a faster, more predictable claims process that improves service levels, strengthens stakeholder trust, and boosts overall operational resilience.

Download our whitepaper to learn how AI is transforming claims, from intake to adjudication.

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Everything You Need In One Partner

CAPS Technology

Experience the perfect blend of technological optimization and adjudication efficiency with our fully integrated solution, meticulously crafted to streamline benefits administration, healthcare claims processing, and overall health plan management.

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Comprehensive Services

Our services, encompassing consulting, staff augmentation, BPO, and BPaaS, are tailored to let you concentrate on your core objectives. We expertly manage and enhance your business processes, providing the skilled support and strategic guidance needed. This comprehensive approach allows you to allocate time and energy where it truly counts, ensuring operational excellence across all facets of your organization.

BPaaS/BPO

Consulting Services

Staff Augmentation