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Publications

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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SHOP TALK: Recommendations for Ensuring Best Health Coverage Outcomes For Children and Families

By Kathleen Hamilton

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. As a participant of the CA HBEX Board's Stakeholder SHOP Work Group, The Children's Partnership sees the SHOP as a critical piece of the children's coverage matrix and has identified key issues around incorporating the SHOP Program into the IT system design. Further, SHOP is critical to ensuring that all possible avenues of providing health coverage for children are maximized.

Download the paper.

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

By Beth Morrow | September 2011

consumer_engagement_thumbThe Children's Partnership has developed a guide to maximize HIT's ability to engage child and parent consumers in their own health by improving access to and use of their electronic health information. When designed with children and parents in mind, HIT can connect, inform, empower, and protect -- four guide posts to effective engagement of this critical consumer segment.

Download the report.

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A Step-by-Step Guide to Health Insurance Enrollment in California

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

insurance_guide_thumbnailThis 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. View the Guide.

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Explaining Health Reform: Uses of Express Lane Strategies to Promote Participation in Coverage

By Beth Morrow | July 2011

Kaiser_Brief_EL_Strategies_thumb

Under the Patient Protection and Affordable Care Act (ACA), millions of uninsured adults and children will gain eligibility for Medicaid or health coverage through new health insurance Exchanges beginning in 2014. The law calls upon states to develop simple and streamlined processes for establishing, verifying and updating eligibility for Medicaid, the Children's Health Insurance Program and federal subsidies for Exchange coverage.

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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).

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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)

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