Implementing the Affordable Care Act: Redesigning and Coordinating Eligibility and Enrollment
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Implementing the Affordable Care Act: Redesigning and Coordinating Eligibility and Enrollment
- 10. ▲ 96,000 ▲ 73,000 ▲ 131,000 ▼ 108,000 ▼ 191,000
- 11. ▲ $153 Million (1.1%) ▼ $563 Million ▼ $ 308 Million ▲ $820 Million ▲ $ 2 Million ▲ $201 Million
- 15. Applicant Enrollment Data Verification – CIM Business Scenario Source: National Health Information Network, prepared for August 24, 2010 meeting of the Office of National Coordinator Enrollment Workgroup
- 16. Changing Needs in Medicaid Eligibility and Outreach
Hinweis der Redaktion
- Hensley
- Focus on the 3 rd bullet – rest is duplicative of earlier presentations.
- Diagram meant for other purposes, but the business model implied here is probably not viable. But, like other states, Kansas has workers at the vortex of enrollment activity. KEY POINT: WORKER-DEPENDENT PROCESS LEAVES STATES VULNERABLE TO CATASTRPHIC BACKLOGS (1200 WORKERS IN TEXAS: UNDERFUNDED CENTRAL CLEARINGHOUSE IN KANSAS
- To reduce un-insurance in Kansas, i.e., WHY DID WE NEED A NEW SYSTEM EVEN BEFORE THE ACA PASSED? Reach the hard-to-reach, un-enrolled populations for all medical programs. “ Low-touch” vs. “High-touch” Procure and implement new technologies that: are customer centric will streamline enrollment into publically funded health insurance products make the system more user friendly, less labor-intensive, and less error-prone are integrated with similar processes in other agencies – and for overlapping groups of clients are easily scalable to accommodate growing client base will provide a platform with which to implement health care reform support the outreach objectives of the KATCH grant interface with other systems to allow for data sharing are user friendly and allow for quicker training of workers with less reliance on workforce knowledge facilitate the implementation of new products, services, and policies quickly support multiple business models and processes
- Build the system with a round hole so that we can plug in the round pegs of the exchange, human service eligibility, and potentially HIE when we have the time and money to do so.