Building a More Efficient Marketplace: Lessons from DC Health Link’s Experience with Open Source Code
Every open enrollment affords the health insurance marketplaces new opportunities to introduce innovative ways to improve their systems while lowering costs. For the 2015-16 open enrollment season, DC Health Link, Washington DC’s health insurance marketplace, levied such an opportunity by transferring their marketplace onto a new open source code solution. Agile, efficient, and cost effective, open source code is an intriguing possibility for state-based marketplaces (SBMs) looking to contain costs while improving their technology and consumer experience. After switching to an open source code solution for the 2015-2016 enrollment season, DC Health Link has reported significant savings, a reduction in consumer complaints, and greater agility to address and improve technical functions. This brief uses the experience of DC Health Link to explore how other SBMs may be able to leverage open source technology to find similar benefits.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































