Innovation at Work
Research - Community Projects - Advocacy

Family-Friendly Enrollment

Interviews with Innovators from Oklahoma

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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Group Comments on Proposed Regulations Governing Eligibility and Enrollment for the Individual Exchange

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). 
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ACA Year Three: The Final Countdown

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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Comments on Proposed Rules

Download submitted comments from California's Children Advocates to CMS on proposed rulemaking regarding streamlining and seamlessness under the ACA, CMS-2334-P.
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Interviews with Innovators from Vermont

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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Electronic Information Exchange: Elements that Matter for Children in Foster Care

The Primer and Webinar
 

Electronic_Information_Exchange_coverThis 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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Express Lane Eligibility News

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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Interviews with Innovators from Social Interest Solutions (SIS)

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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Stakeholder Input into the Exchange Blueprint

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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California’s Child Health and Disability Prevention (CHDP) Gateway Program Under Health Reform

The Children's Partnership developed a new factsheet on the CHDP Gateway, with recommendations on incorporating it as part of California’s implementation of the ACA and further strengthened to serve as an important pathway for meeting the health and enrollment goals of health care reform while maintaining its ability for children to access needed services.

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Express Lane Eligibility Makes Its Mark

Health Reform Enrollment October 2012 Update  (pdf)

As states look ahead one year and anticipate what it takes to enroll large numbers of individuals in the coverage newly made available by the Affordable Care Act (ACA), they can take some lessons from states that have had success with Express Lane Eligibility (ELE). ELE allows states to reach and enroll large numbers of children (and, with CMS approval, parents) through other means-tested programs that have collected and evaluated much of the same eligibility information.

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Interviews with Innovators from Oregon

Health Reform Enrollment September 2012 Update

With a little more than a year to go before state health insurance Exchanges must be open for business, states are under tremendous pressure to develop an enrollment system that will meet the needs of consumers. The tremendous complexity involved in the development of an eligibility and enrollment system has required states to invest an enormous amount of resources and time to successfully complete the project. One of the ways that Oregon has found to meet this challenge has been through formal and informal collaborations, through which it has learned as much as it can from other states and available resources.

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Support Letter Urges Governor to Sign SB 970 (de Leon)

The Children's Partnership submitted a letter to Governor Brown, urging his signature of SB 970 (de Leon).  SB 970 would integrate the process of applying for health coverage with public programs such as CalFresh and CalWORKS. 

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Comments on the Single Streamlined Application Data Elements

Download TCP's submitted comments on Draft Elements and Supporting Statement for Data Collection to Support Eligibility Determinations, CMS-10433, CMS-10438, CMS-10439 and CMS-10440.
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Interviews with Innovators from Massachusetts

Health Reform Enrollment August 2012 Update

The Children’s Partnership (TCP) spoke with leaders of Massachusetts’ effort to get that state’s eligibility and enrollment system ready for 2014. This E-Update provides readers with the heart of those conversations — about challenges, opportunities, and sharable lessons — in the attached interview with:

  • Scott Devonshire - Principal Functional Lead for the New England States Collaborative for Insurance Exchange Systems (NESCIES);
    Chief Information Officer (CIO) for the Commonwealth Health Insurance Connector Authority (“Health Connector”);
  • Jay Himmelstein, MD, MPH - Director, New England States Collaborative for Insurance Exchange Systems (NESCIES);
    Professor, Family Medicine and Community Health, University of Massachusetts Medical School ; and
  • Michael Tutty, MHA, PhD - Director, Office of Health Policy and Technology (HPT);
    Project Director, New England States Collaborative for Insurance Exchange Systems (NESCIES);
    Instructor, Department of Family Medicine and Community Health, University of Massachusetts Medical School.
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Building An Integrated Health Benefits Enrollment and Information Exchange System

Health Reform Enrollment July 2012 Update

As the deadline for full implementation of the Affordable Care Act (ACA) quickly approaches, many states are hard at work developing health insurance exchanges and eligibility/enrollment systems on their own. Vermont is one of a half dozen states partnering with The New England States Collaborative Insurance Exchange Systems (NESCIES) to pool their resources to develop cutting edge and cost-effective technology components, software and best practices for the implementation of an insurance exchange. What Vermont policymakers understand, and others often miss, is the value of taking a comprehensive and coordinated approach to health information technology (HIT) — both in terms of partnering with other states to develop core systems components that can be shared as well as in terms of coordinating across its own enterprise.

Download Background Document: A Closer Look at Vermont

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Using Express Lane and Related Strategies to Pre-enroll Large Numbers of Uninsured

Download recommendations sent to California policymakers responsible for designing eligibility and enrollment under ACA
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California's Experience Designing a Streamlined User-Friendly Enrollment System

IMG_0140IMG_0141

Kristen Golden Testa, Health Director
Health Action 2012 Families USA, Washington DC
January 19, 2012

Download the Power Point

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Building A Consumer-Driven Eligibility, Enrollment, and Renewal System: Essential Design Features for Effective Health Reform in California

 By Dawn Horner and Beth Morrow | January 2012

roadmap_thumbnailThis roadmap lays out the four design features (and practical recommendations for action within each) necessary to enroll almost 4 million Californians newly eligible for subsidized health coverage under health reform, in addition to assisting the over 8 million already receiving such coverage. While written with a specific focus on California, the information and recommendations in the report will be relevant to decisionmakers in any state.

Download the Executive Summary
Download the Full Report 

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New Resources on Consumer Engagement Through Health IT

Health Reform Enrollment September 2011 Update 

Maximizing the Value of HIT to Improve the Health of Children: A Guide for Consumer Engagement. 

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Work by Beth Morrow

  • Beth Morrow Joins Consumer Empowerment Workgroup
    on April 05, 2013

    The Children's Partnership is pleased to announe that Beth Morrow, Director of Health IT Initiatives, is joining the  Consumer Empowerment Workgroup (CEWG) of the Health ...

  • Group Comments on Proposed Regulations Governing Eligibility and Enrollment for the Individual Exchange
    on April 03, 2013
    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 ...
  • Comments on Proposed Online and Paper Model Applications
    on February 28, 2013

    Download TCP's submitted comments to CMS on the proposed Online and Paper Model Applications, CMS-10440.

  • Webinar - Electronic Information Exchange: Elements that Matter for Children
    on January 31, 2013

    The Children’s Partnership and SPARC will be co-hosting a webinar, "Electronic Information Exchange: Elements that Matter for Children in Foster Care," on Thursday, January 31st at ...

  • The Children's Partnership Releases New Issue Brief on Electronic Information Exchange for Children in Foster Care
    on January 24, 2013

    The Children's Partnership and SPARC co-released Electronic Information Exchange: Elements that Matter for Children in Foster Care, an issue brief that lays out the case ...

  • Electronic Information Exchange: Elements that Matter for Children in Foster Care
    on January 17, 2013

    Beth Morrow | January 2013

    This brief lays out the case for investing in systems that enable electronic information exchange for children and youth in foster ...

  • Comments on Stage 3 Meaningful Use
    on January 14, 2013
    Download TCP's submitted comments to the Office of the National Coordinator for Health Information Technology, HIT Policy Committee, regarding Stage 3 Meaningful Use criteria.
  • The Children's Partnership Applauds Congress for Passing the Uninterrupted Scholars Act
    on January 10, 2013

    On January 1, 2013, federal lawmakers passed a bill that will improve social workers’ access to school records of the children and youth in foster ...

  • Comments, California Health Information Exchange “Strategic and Operational Plan, June 2012”
    on August 09, 2012

    Download TCP's comments  on California's HIE Strategic and Operational Plan, submitted August 9, 2012

  • Comments, Improving Outcomes for Disconnected Youth RFI
    on July 05, 2012
    Read the official comments to the U.S. Department of Education on improving outcomes for disconnected youth.
  • Electronic Information Exchange for Children in Foster Care.
    on May 17, 2012

    Washington, DC, May 17, 2012 -- Ms. Morrow, Director, Health IT Initiatives, spoke before the Children's Health Care Caucus on uses of Electronic Information Exchange for Children ...

  • Congressional Briefing: Electronic Information Exchange for Children in Foster Care
    on May 17, 2012

    Beth Morrow, Director, Health IT Initiatives
    Children's Health Care Caucus, Washington, DC
    May 17, 2012

    Download the Power Point Presentation

  • Comments on Stage 2 Proposed Rules
    on May 07, 2012
    Download submitted comments  to CMS regarding CMS-0044-P, Meaningful Use Stage 2 Proposed Rules.
    May 7, 2012
  • Getting Health Reform Right, Right from the Start: A Guide to How California (or Any State) Can Build an Effective Enrollment System
    on January 17, 2012

    Say Ahhh! A Children's Health Policy Blog

    Beth Morrow guest blogs  on essential design features for enrollment under the ACA.

  • Building A Consumer-Driven Eligibility, Enrollment, and Renewal System: Essential Design Features for Effective Health Reform in California
    on January 01, 2012

     By Dawn Horner and Beth Morrow | January 2012

    This roadmap lays out the four design features (and practical recommendations for action within each) necessary to ...

  • Beth Morrow on Need for Medicaid Enrollment in ERs
    on October 31, 2011

    State Health Watch

    Download article here.

  • Maximizing the Value of HIT to Improve the Health of Children: A Guide for Consumer Engagement
    on September 01, 2011

    By Beth Morrow | September 2011

    The Children's Partnership has developed a guide to maximize HIT's ability to engage child and parent consumers in their own ...

  • A Step-by-Step Guide to Health Insurance Enrollment in California
    on July 04, 2011

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

    This visual companion piece to Easy, Efficient, Real-Time (EER): A Framework for a ...

  • Explaining Health Reform: Uses of Express Lane Strategies to Promote Participation in Coverage
    on July 01, 2011

    By Beth Morrow | July 2011

    Under the Patient Protection and Affordable Care Act (ACA), millions of uninsured adults and children will gain eligibility for Medicaid or ...

  • Easy, Efficient, and Real-Time (EER): A Framework for a First-Class Health Insurance Enrollment Experience in California
    on July 01, 2011

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

    This Framework lays out, step by step, how eligibility, enrollment, and retention should ...

  • Testimony, Consumer Perspective on EHR Usability
    on April 21, 2011

    Download testimony to the Certifcation/Adoption Workgroup on the impact of EHR Usability on the Consumer.
    April 21, 2011

  • New Tools for New Times: Using Cell Phones to Help Families Enroll and Stay Enrolled in Health Insurance
    on March 09, 2011

    Say Ahhh! A Children's Health Policy Blog

    Beth Morrow guest blogs on using mobile technology to increase participation in health coverage.

     

  • Mobile Technology: Smart Tools to Increase Participation in Health Coverage
    on March 01, 2011

    By Lisa Han and Beth Morrow | March 2011

  • Explaining Health Reform: Building Enrollment Systems That Meet The Expectations of the Affordable Care Act
    on October 01, 2010

    By Beth Morrow | October 2010


    The success of the Affordable Care Act in achieving near-universal health coverage will depend on the ...

  • Beth Morrow on CHIPRA as a Platform for Health Reform Change
    on August 15, 2010

    State Health Watch 

    Download the article here. (See page 9).

 

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