he Individual Eligibility Business Requirements Template, prepared by Manatt Health Solutions, was developed in order to help drive state decisions and is based on the the eligibility business functions that state Exchanges and Medicaid agencies are required to support pursuant to the Patient Protection and Affordable Care Act (ACA), and related federal implementation regulations.
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.
The State Health Reform Assistance Network hosted its Annual Meeting in Portland, Oregon to bring together state officials and State Network technical assistance providers for a three day intensive meeting from July 11-13, 2012. The Annual Meeting provided an opportunity for state officials to hear from Oregon Governor John Kitzhaber, Len Nichols, and Jeanene Smith during plenary sessions.
Managing State-Level ACA Implementation Through Interagency Collaboration” was developed by Shelly Ten Napel and the State Network team to describe the early lessons learned from state officials and technical experts related to the leadership and coordination strategies needed to successfully implement the Affordable Care Act (ACA) at the state level.
Under health reform, Medicaid will expand in 2014 to cover an additional 16 to 20 million beneficiaries. This population will include a significant percentage of childless adults with urgent and complex health care needs, who are likely to shift between subsidy programs over time.
This State Milestones document, prepared by Manatt Health Solutions, identifies critical Affordable Care Act (ACA) implementation milestones states are striving to achieve by the end of 2012.
On March 12, 2012, the Department of Health and Human Service (HHS) issued final and interim final rules governing the Establishment of Exchanges and Qualified Health Plans; and Exchange Standards for Employers under the Patient Protection and Affordable Care Act (ACA).
This document, produced by Wakely Consulting, is intended to provide a high level overview of the business functions that must be established, the type of work that must be undertaken, and a relative timeline and chronological order for establishing the Maryland Health Benefit Exchange.
Parallel with the release of the issue brief of the same name, Ross Winkelman and colleagues from Wakely Consulting led a webinar explaining what decisions states need to make over the next two years to ensure a robust risk adjustment and reinsurance program.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
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.