Enrollment Assistance

Eligibility and Enrollment Systems: An Advocate’s IT Toolkit

Efforts to improve public coverage programs have long been stymied by the prevalence of outdated IT systems that are the source of numerous consumer issues from confusing and conflicting notices to lost eligibility records to inadequate data to measure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 […]

In-Person Assistors May Look a Lot Like Navigators

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) […]

Medicaid Expansion: Out of the Woodwork or Onto the Welcome Mat

By Lynn Blewett, SHADAC Director (Editor’s Note:  This blog originally appeared on the SHADAC blog.  ) The Woodwork Effect In health policy terms, the “woodwork effect” is a phenomenon that occurs when an expansion of public program eligibility takes place (whether through federal action or a state-level initiative), and individuals who were already eligible for […]

Blurriness Continues to Swirl Around Role of Navigators vs. Insurance Brokers

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 […]

Tick Tick Tick – Do States Still Have Time to Build New IT Systems?

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, […]