• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
NVHealthLink - Countdown To October - Governing, June 2013
 

NVHealthLink - Countdown To October - Governing, June 2013

on

  • 612 views

 

Statistics

Views

Total Views
612
Views on SlideShare
612
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    NVHealthLink - Countdown To October - Governing, June 2013 NVHealthLink - Countdown To October - Governing, June 2013 Presentation Transcript

    • Nevada Health Link June 18, 2013 Countdown to October Governing Operated by the Silver State Health Insurance Exchange
    • Agenda 1. Goals of the Exchange 2. Status of Implementation 3. Finance and Sustainability Plan 4. Outreach and Education Can we do what we say we will do?
    • Goals of the Exchange • Increase the number of insured persons in Nevada • Measures: Enrollment; uninsured rates • Facilitate the purchase and sale of health insurance • Measures: Satisfaction surveys; appeals rates; unsubsidized enrollment; percent of customers that stay with their plans in subsequent years; budget; PMPM costs 3 Strategic Plan
    • Goals of the Exchange • Assist qualified employers in the enrollment and purchase of health coverage and the application for subsidies for enrollees • Measures: Employer enrollment; satisfaction surveys • Provide consumer education on matters relating to enrollment in and effective use of health insurance • Measures: Awareness; seminar attendance; satisfaction surveys 4 Strategic Plan
    • Goals of the Exchange • Assist residents of Nevada with access to programs, premium assistance tax credits and cost-sharing reductions • Measures: Testing; secret shoppers; unscheduled web portal down time; enrollment within one session; enrollment within 7 days 5 Strategic Plan Can we meet these measures?
    • • Nevada has received Conditional Certification from the Secretary of U.S. HHS to operate a State-Based Exchange • The Exchange Board has approved 35 substantial recommendations of the Advisory Committees 6 Status of the Development and Implementation of Nevada Health Link Are policies appropriate to ensure geographic coverage? Do Nevada policies add cost? New federal regulations?
    • • IT Implementation is on-time: Eligibility Engine (DWSS/Deloitte) and Business Operations Solution (Exchange/Xerox) will meet the October 1, 2013 deadline for operability 7 Status of the Development and Implementation of Nevada Health Link Will the Federal Hub be ready? Will testing go smoothly? Will certification go smoothly?
    • • Eleven group carrier onboarding meetings complete (January-May) • Ongoing one on one meetings in tech, ops and fulfillment tracks 8 Status of the Development and Implementation of Nevada Health Link Will QHP rates and plan designs be correct in system? Will enrollment be effectively communicated? Will billing be correct?
    • Outreach and Education • Plan for Navigators, Enrollment Assisters and Producers - 44% of enrollees will use Exchange Enrollment Facilitators (EEFs) • Certified by the DOI – AB425 • Navigators - $370,000, ~34 individuals in FY 2014 • Enrollment Assisters - $1,826,000, ~169 individuals, FY 2014 • Certified Application Counselors – not paid by Exchange 9 Are EEFs sufficiently trained? Do we have enough EEFs?
    • Outreach and Education • Plan for Navigators, Enrollment Assisters and Producers - 22% of enrollees will use Brokers and Agents • Paid by carriers - 30% of enrollees will use Web Portal with the help of a Call Center • 50 plus individuals in Las Vegas (staff size flexes with demand) - 4% of enrollees will use Web Portal alone 10 Can the call center meet demand (staff size; training)? Will Brokers step up?
    • Current State Agency and Exchange Coordination • Medicaid enrollment call centers - All 50 states (regardless of Medicaid expansion decision) should expect increased enrollment due to woodwork effect • Current call centers and Exchange call centers - Where are consumers directed? On promotional material? Applications? - How are calls transferred? • Current and new help - Navigators, Brokers, SHIP volunteers, Insurers - Where do the resources go? 11
    • Marketing/Branding/Outreach • $5,419,900 budget: January 2013 – March 2014 • Goal: Enroll 118,000 persons, mainly in 138% to 400% of FPL • Reach hundreds of thousands of Nevadans directly with outreach • Focus groups finding: simple, direct messaging – the purchase of health insurance is serious 12
    • Overview of Marketing/Outreach 13
    • Outreach • Partnering with numerous non profits serving this population • Presence at events, festivals, neighborhood venues • Presentations; Door to door campaign • Grassroots, person to person approach 14 Will outreach be sufficient?
    • Nevada Health Link Operated by the Silver State Health Insurance Exchange 2310 South Carson Street, Suite 2 Carson City, NV 89701 (775) 687-9939 contact@exchange.nv.gov www.exchange.nv.gov www.nevadahealthlink.com We will be ready