In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
National Academy for State Health Policy- Lynn Dierker; HealthTech Solutions – Sandeep Kapoor
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage. This webinar provided insight into the latest federal guidance on information technology (IT) systems development and the impact it has on developing state IT infrastructure capable of meeting the high expectations and demand of seamless, real-time eligibility and enrollment under the ACA. The slides consider a number of key implementation issues, including the intersection of business and IT processes, the ability of new systems to integrate with existing legacy systems (e.g., Medicaid management information systems), governance, enterprise architecture and system financing.