Innovations in Health Reform Updates

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.

Terms:Family-Friendly Enrollment, Health Reform Update, Newsletter

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.

Terms:Family-Friendly Enrollment, Health Reform Update

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.

Terms:Family-Friendly Enrollment, Health Reform Update, Newsletter

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.

Terms:Family-Friendly Enrollment, Health Reform Update, Newsletter

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

Terms:Family-Friendly Enrollment, Health Reform Update

Stakeholder Input into the Exchange Blueprint

Express Lane Eligibility Makes Its Mark

Interviews with Innovators from Oregon

Interviews with Innovators from Massachusetts

Building An Integrated Health Benefits Enrollment and Information Exchange System

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