Innovations in Health Reform Update April 2013 (pdf)
When it comes to innovators in health reform, Oklahoma deserves special recognition for taking steps to put an online real-time eligibility and enrollment system into place even before the ACA passed. In 2007, Oklahoma began planning for a first-class paperless application system for its Medicaid program, SoonerCare. Since 2010, Oklahoma has had a No Wrong Door online application that provides 24-hour, 7-day a week access to online enrollment and benefits for its most vulnerable population.
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Download submitted comments from The Children's Partnership and our consumer advocate partners regarding the Exchange's March 21, 2013 proposed eligibility and enrollment regulations for the Individual Exchange (Covered California).
Innovations in Health Reform Update March 2013 (pdf)
With the Supreme Court decision upholding the Affordable Care Act (ACA) solidly behind us, states are racing to get State-Based, Federally-Facilitated, or State Partnership Exchanges and related enrollment systems ready by October 1, 2013. Following are some good resources to help states tackle issues they face today:
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Download TCP's submitted comments to CMS on the proposed Online and Paper Model Applications, CMS-10440.
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Download submitted comments from California's Children Advocates to CMS on proposed rulemaking regarding streamlining and seamlessness under the ACA, CMS-2334-P.
Innovations in Health Reform Update February 2013 (pdf)
As States prepare to develop their Exchanges, they must decide what kind of systems infrastructure to implement. Many states may be inclined to develop a centralized, hierarchical architecture because it has been the predominant model of most state IT systems. This month Hunt Blair, Deputy Commissioner of Health Reform for the Vermont Health Access Agency of Human Services, shares with our readers how a “distributed network” approach can help states build an Exchange that “makes connections the way people make connections.” In this interview, Blair goes into detail about how states can realize these and other efficiencies and explains how consumers will be positively impacted by the new approach.
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The Primer and Webinar
 This brief lays out the case for investing in systems that enable electronic information exchange for children and youth in foster care, reviews existing efforts underway in states and communities, identifies specific elements that serve this population most effectively, and discusses steps that state advocates can take to establish an integrated electronic record of care for foster children and youth in their state.
Download the issue brief.
The Children’s Partnership and SPARC co-hosted a webinar, Electronic Information Exchange: Elements that Matter for Children in Foster Care (audio recording and slides), providing examples of current electronic information exchange programs in the states.
Presentations included:
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Health Reform Enrollment January 2013 Update (pdf)
In the waning days of 2012, Congress took the welcome step of extending the Express Lane Eligibility (ELE) option, lending further support to state efforts to deploy data-driven enrollment strategies under the Affordable Care Act (ACA). Since the option was granted in 2009, states have used the strategy to help large numbers of children obtain coverage.
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Health Reform Enrollment December 2012 Update (pdf)
As states continue to look for new ways to meet the challenge of enrolling millions of people into health insurance in 2014, leaders in the development of new mobile technologies are exploring new ways to enroll families using mobile tools – including smartphones, iPads, and other tablets.These new technologies could help make the Affordable Care Act’s (ACA’s) vision of a “first-class” consumer experience into a reality. Social Interest Solutions (SIS) is one of those leaders, having developed a mobile application of its Web-based enrollment tool, One-e-App. Pilot testing of this tool demonstrates its potential to make enrollment in health insurance and other programs available at the touch of a fingertip – whenever and wherever it is most convenient for families.
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Health Reform Enrollment November 2012 Update (pdf)
The federal government has extended the deadline for states to submit the final Exchange Blueprint (Blueprint). This extension (and any future extensions) provides advocates and other stakeholders with another opportunity to help shape their state’s Exchange. The Blueprint will outline Exchange activities, such as premium tax credit and cost sharing reduction determinations, exemptions, risk adjustment programs, reinsurance programs, plan management, CHIP and Medicaid eligibility assessments and consumer assistance.
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