“No wrong door,” a phrase coined to explain access to all the insurance affordability programs (Medicaid, CHIP and subsidized coverage through a Health Insurance Marketplace) through a single application process, is also often used to describe the different paths to enrollment. Beginning October 1, 2013, states are expected to allow individuals to apply online, over […]
As October 1 fast approaches, we continue to learn more about resources available in states to help guide families through the enrollment process. Today, HHS announced recipients of $67 million in grants to fund navigators in the 33 states where the federal government will operate the insurance marketplaces. (We outlined the funding opportunity on Say Ahh! […]
Whenever I read stories about the sticker shock that may hit some consumers when the Affordable Care Act takes effect, it reminds me that buying insurance can be more mystifying than buying a new car. There have been so many jalopies being sold in “mint condition” in the wild west of the insurance market for […]
By Sarah Lueck, Center on Budget and Policy Priorities Recent media coverage may have sown confusion about health reform’s requirement that health insurance plans cap how much consumers can pay out-of-pocket each year for medical care. The bottom line: for many plans, the protections will take effect as scheduled in 2014. Some plans will be able […]
By JoAnn Volk, Georgetown University Center on Health Insurance Reforms In the spring of 2011, the University of California Santa Cruz senior was sure he was so tired because he wasn’t taking care of himself – not unusual for a busy student organizer winding up his final year in college. But when his neck started swelling, […]
Most of the attention on IT development has been focused on eligibility and enrollment systems, those customer-facing websites and online applications that collect data from the applicant and other electronic sources to determine eligibility. But behind the scenes, Medicaid Management Information Systems (MMIS) support the “backend” administrative functions such as provider enrollment, prior authorization, medical […]
