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CONNECTURE

Medicare enrollment and drug transparency technology for health plans, agents, and consumers.

Distribution & Sales Established Acquired
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Overview

ConnectureDRX is a health insurance technology company based in Brookfield, Wisconsin, specializing in Medicare enrollment and prescription drug transparency solutions. Founded in 1999, the company has built a 25+ year track record as a market leader in digital Medicare technology, serving health plans, insurance agents, FMOs, and consumers navigating the complexities of Medicare enrollment and plan selection.

The company was formed through the combination of Connecture (founded 1999) and DRX (formerly DestinationRx), a leading provider of Medicare drug plan comparison information systems, which Connecture acquired in 2013. Operating as ConnectureDRX, the platform today reaches 160+ carriers, over 6,500 Medicare plan types, and 125,000+ agents across 120+ FMOs and agencies. The company also maintains technology that powers Medicare.gov and several state-based ACA exchanges.

In October 2019, Connecture was acquired by N. Harris Computer Corporation (a subsidiary of Constellation Software). Prior to acquisition, the company raised USD 72.2M across 11 funding rounds and sold its commercial (non-Medicare) software assets to BenefitFocus in February 2019 for USD 24M, sharpening its focus exclusively on Medicare technology. Under private ownership, ConnectureDRX continues to expand its platform with new analytics and retention capabilities.

Products & Services

ConnectureDRX Medicare Shopping & Enrollment Platform

The flagship platform provides end-to-end digital Medicare quoting and enrollment solutions for consumers, agents, and health plans. Covers all Medicare plan types: Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), Medicare Supplement (MedSupp), Prescription Drug Plans (PDP), ancillary products, and Value-Based Care plans.

Key Features

  • Real-time Medicare Advantage and Part D plan comparison covering 95%+ of PDP and MA/MAPD markets
  • CMS-compliant enrollment workflows with agent-assisted and self-service options
  • Call center integration tools and Scope of Appointment management
  • Enrollment capture, submission, and multi-channel processing

Target Users: Health plans, Medicare insurance agents, FMOs, call centers

Agility -- Digital Medicare Quoting & Enrollment

Branded as "Agility," this solution enables agents to quote and enroll beneficiaries across multiple Medicare plan types in a unified digital experience.

Key Features

  • Unified multi-product quoting across MA, MAPD, MedSupp, and PDP
  • Digital enrollment capture and submission
  • Agent-centric workflow optimized for field and call center use

Target Users: Independent Medicare agents, FMOs, agencies

Drug Pricing & Transparency Solutions

Gold-standard prescription drug pricing and formulary transparency tools for consumers, plan administrators, and agents. The platform provides out-of-pocket cost estimation and identifies therapeutic alternatives.

Key Features

  • Real-time drug pricing and formulary lookup
  • Drug alternative and therapeutic interchange recommendations
  • Part D plan cost comparison by drug regimen
  • 95%+ MedSupp market and 80%+ PDP market coverage

Target Users: Consumers, health plan members, agents

Active Analytics Platform

Real-time, data-driven analytics platform that helps health plans reach members in changing market conditions with targeted insights.

Key Features

  • Real-time market and member analytics
  • Data-driven outreach and engagement insights
  • Designed for health plan administrators and marketers

Target Users: Health plans, Medicare carriers

Medicare Retention Suite

Platform supporting member retention initiatives for health plans, helping reduce churn and maintain membership through plan shopping cycles.

Key Features

  • Member retention analytics and workflows
  • Plan comparison tools for existing members
  • Retention campaign support

Target Users: Health plan administrators