Coverage Alternatives for Low and Modest Income Consumers
To ensure a seamless system of coverage, the Affordable Care Act (ACA) requires a single streamlined application for all Insurance Affordability Programs (IAPs) and a coordinated process for IAP eligibility and enrollment. States looking beyond the eligibility and enrollment process can utilize this chart to explore different mechanisms to address the cost-sharing cliff in the Exchange and also to promote continuity of coverage and care as consumers transition across IAPs.
Navigators and In-Person Assistors: State Policy and Program Design Considerations
This brief, prepared by State Network staff, outlines important policy issues for states to consider while implementing their Navigator and In-Person Assistor (IPA) programs as well as summarizes the basic information and guidance released to date. The brief concludes with a compilation of resources, program structures, and ideas from leading State Network states.
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.
Estimated Financial Effects of Expanding Oregon’s Medicaid Program under the Affordable Care Act (2014-2020)
This analysis estimates the potential costs and benefits of Medicaid expansion for the State of Oregon. It assesses the effect on state general funds, other state funds and the overall impact on health care expenditures.
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.
How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?
The ‘How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?’ took place on Thursday, February 14 at 2:00 pm ET, and was facilitated by Wakely Consulting Group.
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.
Qualified Health Plan (QHP) Issuer Certification Checklist
The Qualified Health Plan (QHP) Issuer Certification Checklist is a document developed by Georgetown University’s Health Policy Institute that insurance regulators (and/or Exchanges) can use or modify for use in reviewing applications filed by issuers for approval as QHP issuers.