Designing Consumer Assistance Programs: Resources from the Field
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.
What Should Exchanges Know about Call Centers: A Guide for Implementation
This brief, prepared by Wakely Consulting Group, reviews the components of a Call Center as a main face of the Exchange and part of a broader strategy for optimizing people, processes, and technology to support Exchange goals and objectives. It offers tips for Call Center strategy development and management best practices.
Purchasing Coverage for Medicaid Beneficiaries in the Exchange: A Review of Premium Assistance Options
This brief prepared by Manatt Health Solutions examines some of the legal, policy and operational issues states should contemplate while considering the possibility of using “premium assistance” to purchase coverage for Medicaid-eligible adults in the Exchange.
A Strategic Approach for Insurance Exchanges to Select and Manage Qualified Health Plans
Wakely Consulting Group has prepared this policy brief to aid state Exchanges in their contracting strategies with qualified health plans (QHPs). Section I of this brief describes many of the types of decisions that Exchanges should consider in preparing to launch a clean, effective QHP solicitation process.
Premium Collection in State Based Exchanges
This issue brief, prepared by Manatt Health Solutions, summarizes federal policy guidance and outlines requirements, options and key considerations for State-based Exchanges (SBEs) on Exchange premium collection functionality.
Financial Sustainability of Medicaid and Exchange Integrated Eligibility Systems: State Cost Allocation Methodologies
This brief and companion chart, prepared by Center for Health Care Strategies, reviews cost allocation methodologies states use to determine how exchange development expenses are charged to different agencies.
State Experiences with Express Lane Eligibility: Policy Considerations and Possibilities for the Future
The following document, prepared by the National Academy for State Health Policy, discusses the possible role of Express Lane Eligibility (ELE) in simplifying and streamlining enrollment into Medicaid and the Children’s Health Insurance Program (CHIP).
Design Considerations in Structuring Employee Choice for SHOP Exchange
The Affordable Care Act (ACA) created the Small Business Health Options Program (“SHOP”) to create new marketplaces for small employers (and employees) to shop for and purchase employer subsidized health insurance coverage. In addition to small business tax credits, the primary value proposition for the SHOP is to facilitate employee choice.
Top 10 Best Practices for State Health Reform Websites
Forum One Communications and GMMB have aided three State Network states in developing consumer-friendly websites aimed at tackling the difficult challenge of explaining the Affordable Care Act (ACA) provisions to consumers.
Building On a Solid Foundation: Leveraging Current Programs and Infrastructure in Navigator Program Development
The Patient Protection and Affordable Care Act (ACA) establishes health benefits exchanges and requires them to create a navigator program to assist consumers and small businesses as they apply for and enroll in coverage.