Issue Briefs | May 21, 2015

Enhancing Broker Engagement: New Strategies for Marketplaces to Expand Enrollment

Kathie J. Mazza, Wakely Consulting Group

Health insurance brokers can play a unique role in helping all forms of marketplaces to reach out to uninsured households and assist residents with new enrollments, as well as coverage renewals.  Recently, several marketplaces implemented pilot programs intended to leverage the resources of agencies that are particularly interested in building their direct enrollment business under the Affordable Care Act (ACA).  The success of these initiatives is demonstrated by these marketplaces’ plans to expand their efforts for the upcoming open enrollment period.  This issue brief, prepared by Wakely Consulting Group, describes state experiences in implementing a “Lead Broker Agency Program,” and provides instructions for states that are interested in similarly enhancing their engagement with brokers to maximize enrollment.


Expert Perspectives

December 13, 2024

CMS Releases Updated HRSN Framework for Medicaid and CHIP

On December 10, 2024, the Centers for Medicare & Medicaid Services released an updated CMCS Informational Bulletin (CIB) that refines CMS’ descriptions of opportunities for states to cover clinically appropriate and evidence-based services and supports that address health-related social needs (HRSN) in Medicaid and the Children’s Health Insurance Program. This expert perspective summarizes the CIB.

November 22, 2024

Information Sharing Considerations for Implementing the Consolidated Appropriations Act’s Requirements for Justice-Involved Children and Youth

This expert perspective reviews the information sharing considerations for states in implementing the Consolidated Appropriations Act’s (CAA) requirements to provide targeted case management and screening and diagnostic services for children and youth who are incarcerated and enrolled in Medicaid or CHIP. The expert perspective highlights key areas of CAA implementation that require information sharing, which states will need to consider as they work towards coming into full compliance.