On Friday, October 30, State Health & Value Strategies hosted a webinar during which experts from Manatt Health and GMMB reviewed the trajectory of 2020 Medicaid enrollment growth to date and provide effective strategies related to communication with members and coordination across state Medicaid agencies and Marketplaces to support coverage access and retention in this dynamic environment.
Recent federal rules on Short-Term Limited-Duration Insurance and Association Health Plans mean that some insurers may now offer products that don’t adhere to previous Affordable Care Act (ACA) requirements.
As “skinny” plans are increasingly marketed and sold across the country, it’s important for Marketplaces and Departments of Insurance to provide consumers with the information they need to make good decisions when buying health insurance. This toolkit contains a variety of communications resources designed to support Marketplaces, state agencies and other partners in these public education efforts.
Global budgeting is an innovative payment approach for rural hospitals that can enhance financial solvency and advance population health. Hospitals with global budgets know their revenues in advance of the year and so can concentrate on providing the services their communities need as well as on the prevention and management of chronic illness. Maryland rural hospitals have received global budgets since 2010; selected Pennsylvania rural hospitals will be starting on global budgets soon.
With three states using Section 1332 waivers to help fund reinsurance programs for the 2018 plan year, many more state officials are considering the model for their state in future years. Having worked directly with the 2018 reinsurance states, State Health and Value Strategies is pleased to present the following to-do list for states as they consider reinsurance for 2019.
State Health and Value Strategies (SHVS) and the National Academy for State Health Policy (NASHP) co-hosted an ancillary session at the 2017 annual NASHP meeting on October 23, 2017 in Portland, Oregon. The meeting was entitled “Managed Long-Term Services and Supports: Value-Based Purchasing Strategies, Challenges and Opportunities” and focused on supporting state learning, skill-building, and strategy development to foster sound Medicaid managed care (MMC) policies and value-based purchasing (VBP) strategies specific to long term services and supports (LTSS).
Improving Online Health Insurance Marketplaces: The Critical Nature of Direct Observation in Assessing the Consumer User Experience (UX)
As the fourth open enrollment period under the Affordable Care Act (ACA) approaches, online health insurance marketplaces must consider ways in which they can assess the consumer user experience in order to make continued improvements. Direct consumer observation, known as Consumer User Experience (UX) assessment, represents one such tactic that could serve as a very valuable tool for marketplaces as they continue their future strategic planning. This issue brief, prepared by Claudia Page, examines UX assessment channels and provides a closer look at what can be learned by directly observing actual consumers as they apply for coverage.
Partnerships Between Brokers and Marketplaces: An Assessment of Minnesota’s Broker-Operated Enrollment Centers
As health insurance marketplaces continue to approach the fourth open enrollment period, the development of innovative models and partnerships for reaching consumers becomes increasingly important. During the third open enrollment period, MNsure, Minnesota’s state-based marketplace, designated and supported twenty broker-operated enrollment centers around the state, which made a series of special commitments to promote enrollment through the marketplace. Determining the efficiency and effectiveness of such efforts is critical for the planning and development of future efforts undertaken by marketplaces.
Webinar: Final 2017 Notice of Benefit and Payment Parameters and Letter to Federal Marketplace Issuers
The Department of Health and Human Services (HHS) recently published its final Notice of Benefit and Payment Parameters for 2017, as well as the final version of its 2017 letter to Qualified Health Plan (QHP) issuers participating in the federally-facilitated marketplace (FFM). The State Network team at Manatt Health led a webinar explaining this final rule and what it will mean for states.
Tax year 2014 marked the first year during which all health insurance marketplaces were required to report information about Advance Premium Tax Credits (APTCs) to enrollees through Form 1095-A, which was developed by the Internal Revenue Service (IRS) and used by enrollees to fill out new tax forms. In order to address potential concerns leading up to the execution of this process, the State Network convened a workgroup of states, led by Manatt Health Solutions, which enabled discussion of implementation challenges and solutions. Many of the expected challenges associated with this process were addressed in advance, allowing the marketplaces to provide most forms in a timely fashion and develop solutions to challenges as they arose.
As health insurance exchanges approach the third open enrollment period under the Affordable Care Act (ACA), social media platforms continue to represent vital channels through which exchanges can reach consumers. Using social media to inform and educate consumers about the availability of affordable coverage options through the marketplace can be a critical component of an exchange’s communications plan, but also requires an understanding of some of the most effective ways of using them. This slide deck, prepared by GMMB, provides an overview of several social media channels, as well as key insights and tips for making sure that exchanges are utilizing them as effectively as possible.