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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).

 
 

From Silos To Linkages: Improving Outcomes For Vulnerable Youth Through the Wise Use of Information Technology

By Stefanie Gluckman with Ashley Phelps | May 2011

silos_thumbCalifornia is poised to make great progress, and has an opportunity to leverage the tremendous potential of information technology to improve health and wellness outcomes for vulnerable populations, particularly children and youth living in foster care.  Recent technology and policy developments have created an environment in which it is possible to transform the delivery of care by linking systems, programs, and providers, allowing decision-makers efficient access to the information necessary to provide comprehensive care to the whole child.Building on two previous reports, this Issue Brief summarizes the potential for electronic information exchange to enhance care coordination and improve outcomes, highlights current efforts at the state and local level to achieve these results, and raises a few policy issues that, if resolved, would facilitate movement toward the goal of appropriate information exchange between programs and providers to serve vulnerable youth.

Download this Issue Brief.

 
     

Explaining Health Reform: Building Enrollment Systems That Meet The Expectations of the Affordable Care Act

By Beth Morrow | October 2010


image_TCP_Enrollment_Systems_for_ACAThe success of the Affordable Care Act in achieving near-universal health coverage will depend on the effectiveness of the enrollment and renewal processes that states put in place. The law establishes the expectation that systems should enroll individuals with the minimum possible burden and handle transitions seamlessly.

This brief, published in partnership with the Kaiser Commission on Medicaid and the Uninsured, explains the key enrollment-related provisions of the health reform law, discusses the elements of an enrollment system that would comply with the law's requirements, and offers strategies -- and examples -- of how to achieve such a system.

With a quickly approaching 2014 deadline, states must begin working together with federal agencies and stakeholders to put critical policies and systems in place. As states address the immediate challenge of designing and building an Exchange, coordination with Medicaid and CHIP at all points in the enrollment process -- from application at the front-end, to data retrieval and verification at the back end -- is a fundamental organizing principle.

Download Now (PDF, 709 KB)

 
   

Electronic Information Exchange for Children in Foster Care: A Roadmap to Improved Outcomes

By Stefanie Gluckman with Ashley Phelps | February 2010

 

FosterCareRoadMapCoverThe need for efficient and effective coordination of care to adequately serve children living in foster care is broadly acknowledged by experts in the field. This Roadmap describes how information technology and the electronic exchange of information can be used as a powerful tool to improve the coordination of care and provision of services for children living in foster care in California.

After presenting alternative models for an electronic system that facilitates information sharing between providers in the foster care system, and considering the technical, financial, and political opportunities that exist for moving this effort forward, this Roadmap recommends concrete steps that the State and other key stakeholders can take toward improving outcomes for children in foster care through the use of information technology.

Download the Full Roadmap  (PDF, 1.2 MB).

Download the Executive Summary  (PDF, 184 KB).

 
       
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