Managing Program Change

Experience from Maximizing Enrollment States in Leadership, Culture Change, Coordination and Data

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Report reviews proven methods to improve insurance enrollment in eight states

Since 2009, eight states have pursued unique approaches toward improving health insurance enrollment by giving people faster access to coverage and more options to remain covered.

This report highlights the innovative approaches the states are taking to streamline eligibility determinations and boost enrollment in Medicaid and the Children's Health Insurance Program (CHIP). The eight states reviewed in the study are: Alabama, Illinois, Louisiana, Massachusetts, New York, Utah, Virginia and Wisconsin.

Key Findings

  • Coordination across government programs and agencies can increase efficiency and more effectively serve families.

  • Securing committed leadership is important to set a clear vision and encourage a culture of coverage.

  • Collection and analysis of data is important to make more informed programmatic decisions.

This report was funded by the Robert Wood Johnson Foundation and prepared by researchers at the National Academy for State Health Policy.


For more details on how the state efforts made throughout Maximizing Enrollment are informing states’ implementation of ACA through systems, policy and procedural changes, check out this recording of a briefing NASHP and the Urban Institute co-hosted on December 17, which featured a panel discussion of Maximizing Enrollment state officials from Alabama and Virginia and national experts to highlight successful state enrollment strategies.