errors and omissions (1)
errors and omissions (1) Federal Register Navigator excerpt
errors and omissions (1) Federal Register Navigator excerpt
Editor’s Note: To vote for the Ravens, click on the Facebook or Twitter icons on the bottom and like, tweet or do both. If you aren’t into social media, send it to your friends by email.) By Suzanne Schlattman, Maryland Health Care for All Coalition I’m not a big fan of football, but I’m […]
By Kelsey McCowan Heilman, New Mexico Center on Law and Poverty and Nick Estes, New Mexico Voices for Children Earlier this month, New Mexico Governor Susana Martinez announced that New Mexico will accept federal funding to expand Medicaid eligibility for adults to 138% of the Federal Poverty Level (FPL). This is a critical decision for the […]
We are confident that Say Ahhh! readers received dozens of smartphone alerts and emails the past few days with minute-by-minute updates on the fiscal cliff deal making. Yet those alerts missed some important Medicaid- and CHIP-related provisions that rose to the top of our “Breaking News” list: Express Lane Eligibility option extended until September 30, […]
By Sarah Dash, Georgetown University Center on Health Insurance Reform On Monday, December 10th, the Department of Health and Human Services granted conditional approval to six states seeking to establish state-based health insurance exchanges: Colorado, Connecticut, Maryland, Massachusetts, Oregon, and Washington. The decisions came earlier than the January 1, 2013, statutory deadline for HHS to […]
Editor’s Note: This blog post originally appeared on the State Refor(um) By Carla Plaza, National Academy for State Health Policy (NASHP) If you build it will they come? If history repeats itself, they will, but not without intentional, focused efforts to reach, assist and enroll individuals and families into health care coverage. Prior to the […]
By Joanne Volk, Center on Health Insurance Reforms What would you do if you had a health care condition that required regular, costly care your whole lifetime? You’d probably be sure you had uninterrupted health coverage so you could get the care you need without bankrupting your family. For tens of millions of Americans like […]
Efforts to improve public coverage programs have long been stymied by the prevalence of outdated IT systems that are the source of numerous consumer issues from confusing and conflicting notices to lost eligibility records to inadequate data to measure program performance. Meanwhile the state of technology and web-based services has advanced significantly, leaving many Medicaid […]
Quietly embedded in the June 29, 2012 update of the exchange establishment grant funding opportunity announcement (FOA) was a new category of consumer assistance – in person assistance (IPA). While federal officials haven’t been completely mum about this announcement, we have yet to see anything in writing (beyond what’s in the FOA and exchange blueprint) […]
FOA-Blueprint navigators vs. in-person assistance
Secretary Letter to Congress re-navigators
letter to HHS re-navigators final 9-21-12
In July, HHS Secretary Sebelius responded to an inquiry from a group of Congressmen regarding distinctions between navigators and brokers. The Secretary’s letter clearly articulated that states cannot require navigators to be licensed insurance brokers or agents. The letter provides other helpful clarifications, as well. Unfortunately, some of the wording of the letter has spurred additional […]
High-performing, technology-enabled eligibility and enrollment systems are unequivocally at the heart of the vision of streamlined, real-time access to health coverage under the Affordable Care Act (ACA). New systems offer the promise of remedying many of the consumer issues that advocates have worked on for years including eliminating unnecessary paperwork, making notices clear and understandable, […]
Navigator Programs Duties and Competencies
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 […]
We’ve posted several blogs over the past year about how navigators will play a critical role in helping consumers connect to expanded and more affordable health coverage options. In July, we launched a new series of briefs about navigators, the first of which, “Countdown to 2014: Designing Navigator Programs to Meet the Needs of Consumers,” […]
The Atlantic August 6, 2012 By Erin N. Marcus He was a “frequent flyer” — a patient with multiple health problems who gets admitted to the hospital repeatedly. It was usually because he hadn’t taken his medicine correctly, if at all. When he left the hospital 10 days earlier, he told his physician that he […]
Just as millions of people are crowding the streets of London for the 2012 summer games, millions of people are expected to access new coverage opportunities when Exchanges open for business next year. Preparing for the influx of people who will gain new coverage options requires the same kind of careful planning and preparation as […]
Designing Navigator Programs