Health Reform Implementation

With the passage of the Patient Protection and Affordable Care Act of 2010 (ACA), the federal government and states are engaged in the complex work of implementing national health reform.

Implementation Resources:

• Building A Consumer-Driven Eligibility, Enrollment, and Renewal System: Essential Design Features for Effective Health Reform in California
  This 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.
• SHOP TALK: Recommendations for Ensuring Best Health Coverage Outcomes For Children and Families
  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.
• Explaining Health Reform: Uses of Express Lane Strategies to Promote Participation in Coverage
  Examines how states can employ "express lane" principles in designing systems that use existing data held by other government agencies to help identify individuals who may be eligible for Medicaid, CHIP or subsidies for other coverage and enroll them or renew their coverage, as appropriate, under the health reform law.
• Easy, Efficient, and Real-Time (EER): A Framework for a First-Class Health Insurance Enrollment Experience in California
  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.
• A Step-by-Step Guide to Health Insurance Enrollment in California
  A 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.
• Creating California's "No Wrong Door" for Health Coverage: Recommendations from Consumer Advocates
  Provides the consumer perspective on the structural issues involved in creating the ideal enrollment system in California.
• Mobile Technology: Smart Tools to Increase Participation in Health Coverage
  This issue brief examines how mobile technology can be used to advance coverage goals, especially on the capacity of mobile technology to reach and expand health coverage among traditionally underserved communities.
• Explaining Health Reform: Eligibility and Enrollment Processes for Medicaid, CHIP, and Subsidies in the Exchanges
  Outlines key provisions of ACA that, taken together, create a blueprint for tightly-coordinated and consumer-friendly eligibility and enrollment systems with seamless coverage as their goal.
• Explaining Health Reform: Building Enrollment Systems That Meet The Expectations of the Affordable Care Act
  Discusses the elements of an enrollment system that would help a state comply with ACA's requirements and offers strategies, as well as examples, for achieving such a system.

Useful Related Resources:

• Building Efficient and Effective Medicaid and CHIP Enrollment Systems: Core Requirements to Ensure the Greatest Value for Children and Families.
  A framework for moving forward with modernizing public program enrollment technology in a manner that improves the consumer experience and promotes systems integration.
• E-Health Snapshot: Harnessing Technology to Improve Medicaid and SCHIP Enrollment and Retention Practices
  A look at promising ways to use technology to create simpler, more effective enrollment and retention systems.