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SHOP TALK: Recommendations for Ensuring Best Health Coverage Outcomes For Children and Families

By Kathleen Hamilton

This paper provides recommendations to the California Health Benefit Exchange Board (HBEX) as it proceeds with the implementation of the SHOP program for small employers. These recommendations are aimed at ensuring that families covered through SHOP have access to and understand the best affordable care available for children. As a participant of the CA HBEX Board's Stakeholder SHOP Work Group, The Children's Partnership sees the SHOP as a critical piece of the children's coverage matrix and has identified key issues around incorporating the SHOP Program into the IT system design. Further, SHOP is critical to ensuring that all possible avenues of providing health coverage for children are maximized.

Download the paper.

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Governor Brown Signs Legislation to Implement Health Reform for California’s Children & Families

SACRAMENTO - California's leading children's advocates today congratulated Governor Brown on signing key legislation that moves health care reform forward in California, and sets the stage for improving access to health care coverage for children. By signing AB 1296 (Bonilla), AB 922 (Monning) and SB 51 (Alquist), the Governor allows the state to continue to move forward on implementation of the Affordable Care Act in California.

Read full press release .

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New Resources to Help States Design Consumer-Friendly Enrollment Systems

Health Reform Enrollment August 2011 Update 

Also, information in an opportunity to comment on Proposed Rule and New Partnerships Using Express Lane Comcepts.  

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Keeping on Track: California Continues to Move Forward on Health Insurance Exchange

Say Ahhh! A Children's Health Policy Blog

Kathleen Hamilton guest blogs about the progress of CA Health Exchange. 

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Kristen Golden Testa and Kathleen Hamilton Designated to Participate in the California Health Benefit Exchange Stakeholder Engagement Process

The California Health Benefit Exchange launched its stakeholder engagement process. Two separate workgroups were established to address eligibility and enrollment process issues specific to both the individual and small employer markets. 

Read more about the stakeholder workgroups

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A Step-by-Step Guide to Health Insurance Enrollment in California

By Beth Morrow, Kristen Golden Testa, Terri Shaw, and Lisa Han | July 2011

insurance_guide_thumbnailThis visual companion piece to Easy, Efficient, Real-Time (EER): A Framework for a First-Class Health Insurance Enrollment Experience in California walks the viewer through an individual's ideal enrollment experience. View the Guide.

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Explaining Health Reform: Uses of Express Lane Strategies to Promote Participation in Coverage

By Beth Morrow | July 2011

Kaiser_Brief_EL_Strategies_thumb

Under the Patient Protection and Affordable Care Act (ACA), millions of uninsured adults and children will gain eligibility for Medicaid or health coverage through new health insurance Exchanges beginning in 2014. The law calls upon states to develop simple and streamlined processes for establishing, verifying and updating eligibility for Medicaid, the Children's Health Insurance Program and federal subsidies for Exchange coverage.

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Easy, Efficient, and Real-Time (EER): A Framework for a First-Class Health Insurance Enrollment Experience in California

By Beth Morrow, Kristen Golden Testa, Terri Shaw, and Lisa Han | July 2011

eer-imageThis Framework lays out, step by step, how eligibility, enrollment, and retention should work for consumers so that California can meet the expectations of the Affordable Care Act. While developed for California, this Framework can be used in any state to help stakeholders focus on the elements that matter most for consumers. It is designed to be a practical resource for decision-makers as they work to achieve our shared goal: a simple, efficient door into health care in California that works well for its consumers.

Download the issue brief  (PDF, 862 KB).

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