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 […]
By Joe Touschner The Georgetown University Center for Children and Families and the Children’s Dental Health Project collaborated to produce this issue brief. It presents an overview of some of the key changes the Affordable Care Act makes to children’s dental benefits and the choices states face in defining pediatric dental benefits. It concludes with recommendations for those who wish to support […]
By Tara Mancini Medicaid seems to be a lightening rod for inaccurate assumptions such as it’s too expensive for states (it’s a good deal for states), overall cost (more cost-effective than private insurance) and beneficiaries using hospital Emergency Departments for routine care. Until recently, there had not been much research to refute the perception of […]
By Joe Touschner This guide highlights considerations for the selection of the essential health benefits with a focus on services for children. The Department of Health and Human Services has determined that each state will select an essential health benefits package based on an existing employer-based health plan. The guide outlines the process for choosing and supplementing […]
This brief provides recommendations on how states can connect consumers with health coverage programs like Medicaid and health insurance exchanges. It also explores how ways to connect consumers with health coverage options will evolve as new technological tools are deployed to facilitate the enrollment process. Where states’ use of new technology tools is limited, the authors […]
Exchanges are required to establish a navigator program that provides grants to community or consumer-focused nonprofits and other organizations to conduct outreach and help consumers and small employers connect to health coverage. States have broad flexibility in designing their programs as long as minimum federal guidelines are met. While similar to existing models of consumer assistance in Medicaid and Medicare, navigator […]
