Exchanges are required to set up navigator programs and federal regulations specify a minimum set of duties and competencies required of navigators. However, states have to flexibility to expand the role of navigators to maximize the effectiveness and reach of their programs. By identifying and focusing on the needs of consumers upfront, Exchanges are better able to define the full scope of work that will help consumers not only gain coverage but also lead to health care access, better health and a more sustainable health care delivery system. This brief poses a number of strategic questions that will help states craft a vision for the navigator program and guide key operational decisions going forward including navigator duties and competencies.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2012, 92.8% of children in the United States had health insurance coverage. (Source: Children's Health Coverage on the Eve of the Affordable Care Act)
- In January 2014, eligibility levels for parents and childless adults will significantly increase in the 26 states, including DC, that are expanding Medicaid to adults. (Source: New! Getting Into Gear for 2014)