Designing Consumer Assistance Programs: Resources from the Field
National Academy for State Health Policy – Katie Baudouin, Christina Miller, and Rachel Dolan
This issue brief, prepared by the National Academy for State Health Policy (NASHP), outlines major state decisions regarding coverage expansion consumer assistance strategies and lists valuable tools that state officials can use when determining how to meet the needs of new and existing consumers. The appendix includes links to resources that can help state officials design consumer assistance programs. The brief covers four major methods states are considering to provide consumer assistance:
– Outreach and engagement through marketing and advertising;
– Enrollment assistance through navigators and in-person assistors;
– Engagement of insurance producers (inclusive of both agents and brokers); and,
– Individualized support through call centers and other communications.
This expert perspective reviews key considerations for states exploring Marketplace insurance subsidies and highlights the experiences in the five states that have established state-based subsidies that supplement the ACA’s premium tax credit and cost-sharing reductions.
The United States is in the midst of an unprecedented national effort to manufacture, distribute, and ultimately administer COVID-19 vaccines to all Americans. While the federal government is coordinating distribution of vaccines from manufacturers to states, individual states (and certain municipalities) are responsible for coordinating the various components of infrastructure and operational logistics needed to take the vaccine from federal distribution channels to the arms of Americans. This expert perspective outlines four recommendations for states to engage their managed care plans to assist in efforts to successfully and rapidly vaccinate the Medicaid population.