This expert perspective reviews how Medicaid programs in Connecticut, Massachusetts and Rhode Island have engaged with commercial payers, providers, patients, advocates and other parties to create and adhere to multi-payer aligned measure sets. It describes the benefits to Medicaid agencies of participating in aligned measure set efforts, as well as tips and resources for Medicaid agencies intersted in measure alignment.
What Should Exchanges Know about Call Centers: A Guide for Implementation
Wakely Consulting Group – Kathie Mazza and Steven McStay
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. The brief concludes with an exploration of five Call Center best practices relevant to the Exchange environment, several of which are drawn from conversations with people familiar with some of the best-in-class Call Centers in the country, including L.L.Bean, Fidelity Investments, Nordstrom, and Blue Cross Blue Shield of Vermont.
A related consumer assistance issue, Navigators and In-Person Assistors, is addressed in a brief produced by State Network staff outlining roles and a resource list for state officials. For a high level overview of consumer assistance strategies see the brief prepared by the National Academy for State Health Policy.