As the COVID-19 crisis began to take hold, state-based marketplaces (SBMs) were quick to respond to the first nationwide public health emergency since the Affordable Care Act created new coverage options in states. Informed by conversations with seven SBMs that established an SEP—Colorado, Maryland, Massachusetts, Nevada, New York, Rhode Island and Washington—this expert perspective highlights strategies that successfully drove enrollment, including: leveraging their SBM status to quickly and efficiently operationalize customer service in a new remote environment, directly engaging with existing customers as well as reaching out broadly to new ones, and adapting outreach tactics based on new insights regarding audience needs and behaviors to reach them most effectively.
Predicting the Health Insurance Coverage Impacts of Complex Policy Changes: A New Tool for States
State Heath Access Data Assistance Center – Julie Sonier
This brief, prepared by State Health Access Data Assistance Center (SHADAC), overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage. The SHADAC Projection Model provides state officials with the flexibility to update baseline data or test different assumptions, and is based primarily on state-specific data. This model was developed to address the need among states for analysis that is timely, state-specific, relatively inexpensive, and flexible for testing alternative assumptions to predict the coverage impacts of policy changes at the state level. Although the model was constructed specifically to help states project the coverage impacts of the ACA, the approach can be adapted to model the coverage impacts of other reform approaches as well. The brief highlights the model’s approach, data sources, assumptions, and model output.