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Eligibility and Enrollment

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  • Topic: Eligibility and enrollment
  • Topic: Health insurance exchanges
By Topic
  • Affordable Care Act (10)
  • Insurance coverage (8)
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  • Medicaid (6)
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  • Children's health insurance program (CHIP) (3)
  • Health reform (2)
  • Insurance cost (2)
  • Financial barriers to care (2)
  • Uninsured (2)
  • Consumer engagement (2)
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    • Issue Brief (6)
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    • Massachusetts (MA) NE (4)

What Should Exchanges Know About Call Centers

March 1, 2013 | Issue Brief

This brief reviews the components of a Call Center as a main face of the Exchange and part of a broader strategy for optimizing people, processes, and technology to support Exchange goals and objectives.

State Based Health Insurance Exchange Individual Eligibility Business Requirements Template

August 1, 2012 | Report

The Individual Eligibility Business Requirements Template, prepared by Manatt Health Solutions, was developed in order to help drive state decisions and is based on the the eligibility business functions that state Exchanges and Medicaid agencies ar ...

Health Insurance Exchanges

September 1, 2010 | Report

Report delves into how states can most effectively address issues about eligibility, enrollment, benefit levels, plan selections, and premium collection and tracking.

Effective Education, Outreach, and Enrollment Approaches for Populations Newly Eligible for Health Coverage

March 1, 2012 | Toolkit

The Health Reform Toolkit Series focuses on outreach and enrollment for those newly eligible under ACA. It offers ideas and resources that may be useful as states plan and implement their own outreach and enrollment efforts, with a particular focus on those individuals and families who will be newly eligible for Medicaid or subsidized insurance coverage in 2014.

Building an Effective Health Insurance Exchange Website

April 1, 2011 | Toolkit

Toolkit series provides resources to help states plan, build and implement elements of ACA.

Designing Consumer Assistance Programs

March 1, 2013 | Issue Brief

Major state decisions regarding coverage expansion consumer assistance strategies are outlined in this brief, in addition to tools state officials can use when determining how to meet the needs of new and existing consumers.

Overview of Final Exchange Regulations

April 1, 2012 | Issue Brief

The State Network summarizes key provisions in the Patient Protection and Affordable Care Act (ACA) final rule, which represents the most significant guidance to date on Health Insurance Exchanges operation, setting forth minimum standards.

Resources From the Massachusetts Implementation Experience

March 13, 2012 | Issue Brief

The Health Reform Toolkit Series includes toolkits on: building an effective exchange website, implementing a public education campaign, determining health benefit designs to be offered, mitigating risk, and outreach and enrollment to those newly eligible.

Plan Management

May 1, 2012 | Report

This paper funded by the Robert Wood Johnson Foundation, and authored by a joint team from Georgetown University's Health Policy institute and the National Academy of Social Insurance, provides insight for state and federal officials considering how they will assume responsibility for managing health plans once health insurance exchanges are established.

What Proven Strategies Help Maximize Enrollment in Public Health Insurance Programs?

August 1, 2011 | Issue Brief

States will play a vital role in the success of federal health reform by enrolling residents in public health insurance programs.

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