Streamlining Eligibility and Enrollment: Models for Health Reform Implementation

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What is Maximizing Enrollment? an initiative funded by Robert Wood Johnson Foundation with
Goals to “Move the Needle” and Document what works, increase enrollment of eligible uninsured
children in 8 grantee states
and improve enrollment systems to be ready for 2014 presented by Alice Weiss Co-Director, Maximizing Enrollment/NASHP

Published in: Health & Medicine
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Streamlining Eligibility and Enrollment: Models for Health Reform Implementation

  1. 1. Streamlining Eligibility and Enrollment:Models for Health Reform Implementation!"#$%&(&)%#**+&,-&./#0#1#23&4256""0%2789!:;<&./#0#1#23&4256""0%27&9.=62."&>5#%?23&@2#62&:7.=62+&).*A#23762+&-B&C5#D.E+&-%$%0F%5&GH+&IHGH&
  2. 2. •! #$%&()*+(%,"%$%&)$-."/0/12(.0/".$"3041%5"+.(.0+" (231060"0720440%20"1%"30(4.3"$4128"(%/")(2*209""" !!:$%/;2.+"$4128"(%(48+1+"(%/")0+0()23,"" !!:$%60%0+"<$);=+"<$)")$>40="+$461%5,"(%/" !!?++1+.+"0702;*60"(%/"4051+4(*60">)(%23"$@21(4+"•! A$)B+"(2)$++"(50%210+"(%/">)(%230+"$<"5$60)%=0%." .$"(/6(%20"30(4.3"$4128"/0604$=0%.,"(%(48+1+,"(%/" +$4;*$%+"•! #(*$%(4"C)$5)(="D@20"<$)"E(71=1F1%5"G%)$44=0%." !"
  3. 3. What is Maximizing Enrollment?•! IJK"E"L$>0)."A$$/"M$3%+$%"N$;%/(*$%"1%1*(*60" 4(;%230/"1%"!OOP"•! Q$(4+9"RE$60".30"#00/40S"(%/"T$2;=0%.""""""A3(."A$)B+" !! U%2)0(+0"0%)$44=0%."$<"04151>40";%1%+;)0/" 2314/)0%"1%"P"5)(%.00"+.(.0+" !! U=)$60"0%)$44=0%."+8+.0=+".$">0")0(/8"<$)"!OJV" !! W3()0"=$/04+"(%/"40++$%+"<$)"%(*$%(4"1=(2." !! G6(4;(.0"0X02.+"$<"+.)(.0510+"" !! T$2;=0%."Y3(."Y0"40()%""•! C)(2*209" !! N$2;+"$%"+.(.0"04151>141.8"(%/"0%)$44=0%."+8+.0=+" !! U%/161/;(41F0/,"=;4*&<(20.0/"()$(23"•! P"5)(%.00+")020160"IJ"E,"00)&40()%1%5"(%/"Z?" H"
  4. 4. Maximizing Enrollment GranteesP"+.(.0+"+0402.0/"<)$="!P"+.(.0+"1%"N0>);()8"!OO[""" V"
  5. 5. Diagnostic Assessment: Systems Approach•! N1)+."80()9"T1(5%$+*2"?++0++=0%.""""""""""""""""""""""""""""""" <$)"0(23"5)(%.00"+.(.0"•! 04+"+.(.0+";%/0)+.(%/"+8+.0=+"(%/"""""""""""""" 0X02*6048".()50."41=1.0/")0+$;)20+""•! #?WC"2$%.)(2.0/""(%/"Y$)B0/"Y1.3"0(4.3"""""""""""""""""""" E(%(50=0%."?++$21(.0+"]E?^9"""""""""""""""""""""""" •! T0604$0/")$.$2$4"(%/"2$%/;2.0/"(++0++=0%.+" •! C)$.$2$4">(+0/"$%"41.0)(.;)0")0610Y"(%/"070).""""""""""" $1%1$%""•! L0+;4.+"(%(48F0/".$"1/0%*<8"+.)0%5.3+,"23(440%50+," (%/"$$).;%1*0+"(%/"-%/1%5+")0$).0/" K"
  6. 6. `;14/1%5"$%"?++0++=0%."N1%/1%5+9":)0(*%5"(%/" U=40=0%*%5"U=)$60=0%."C4(%+ "•! W.(.0+";+0/"(++0++=0%."-%/1%5+".$" /0604$"1=)$60=0%."4(%+".3(." $;.41%0/"5$(4+"(%/"1=40=0%.(*$%" +.)(.0510+""•! W.(.0+".30%"2)0(.0/"80()48"Y$)B" 4(%+"Y1.3"(2*61*0+"(%/"*=041%0+" <$)"1=40=0%.(*$%".3(."1/0%*-0/" 40(/"+.(X"(%/")0+$;)20+"%00/0/"" _"
  7. 7. Models for Reform
  8. 8. Reducing Processes and Paperwork•! U441%$1+9"" •! G41=1%(*%5"=$%.348"E0/12(1/"2()/+" •! T0604$1%5"/$2;=0%."1=(51%5"•! #0Y"a$)B9"" •! G41=1%(*%5"<(20&.$&<(20"1%.0)610Y+" •! W1=41<81%5"(412(*$%"•! b$;1+1(%(9""?/=1%1+.)(*60" )0%0Y(4+"<$)"!PP,OOO"2(+0+" •! +(61%5+"$<"IPc!K"E"(%%;(448"]J_O"NZG+^" P"
  9. 9. Louisiana Express Lane Experience*•! GbG"<$)"W#?C&04151>40" 2314/)0%"1=40=0%.0/"!dJO""•! W1%20".30%9" •! !O,OOO"2314/)0%"0%)$440/" •! JJ,OOO"2314/)0%")0%0Y0/" •! ?44"Y$)B"/$%0"R$60)%153.S" e"%$"Y$)B0)".$;230+"2(+0" •! W.(.0"+(61%5"I,"/02)0(+1%5" 2(+04$(/">;)/0% ""f"L;.3"g0%%0/8h+"N)(%B":()("1%+1)(*$%" ["
  10. 10. Implementing New Technologies•! i.(39"" •! R=8"2(+0S"(22$;%."1%24;/1%5"0=(14"%$*20+," $%41%0")0%0Y(4+" •! 0&:3(."<$)")0(4&*=0"(++1+.(%20"•! ?4(>(=(9"?;/1$&j1+;(4"?412(*$%"?++1+.(%20" B1$+B+" •! Z()50."W(%1+3&+0(B1%5"(%/"4$Y&41.0)(28" •! [kl"0%)$44=0%.")(.0"<$)"+;>=1++1$%+"•! j1)51%1(9"" •! D%41%0"+;>=1++1$%"Y1.3"0&+15%(.;)0,"+2(%%0/" /$2;=0%.+" •! D%41%0")0%0Y(4+" JO"
  11. 11. Increasing Reliance on Data•! i.(3"e"C4(%+".$";+0"N)00"(%/"L0/;20/" W23$$4"b;%23"C)$5)(="/(.(".$"1/0%*<8" 04151>40"2314/)0%"•! #0Y"a$)B"e"U=)$61%5"$60)+153."$<"2$;%.8" Y$)B".3)$;53"/(.("2$4402*$%"(%/"(%(48+1+"•! j1)51%1("e"" •! T(.("Y()03$;+0"=0)51%5"04151>141.8"(%/" 24(1=+"/(.(>(+0+".$"=(B0"/(.("" R0)+$%&20%.0)0/S" •! ?%(48F1%5"?:W"/(.(".$")1$)1*F0"()0(+"$<" 3153";%1%+;)0/"(%/".()50.")0+$;)20+" JJ"
  12. 12. Improving Culture and Coordination•! ?4(>(=("e"U=)$61%5"E0/12(1/&:UC"2$44(>$)(*$%" (%/")$61/1%5".)(1%1%5+"<$)"2$;%.8"30(4.3"Y$)B0)+".$" +;$)."0%)$44=0%.m"E0/12(1/")0>)(%/1%5"0X$)."•! U441%$1+"e"U%2)0(+1%5"E0/12(1/&:UC"2$44(>$)(*$%" .3)$;53"n$1%.".)(1%1%5+,"Y$)B"$%"1=40=0%*%5" /;)(>40"04151>141.8"2()/" J!"
  13. 13. Self-Assessment Toolkit•! C;)$+09"04"8$;)"+.(.0" ;%/0)+.(%/"1.+"+.)0%5.3+"(%/" 23(440%50+"1%"0%)$44=0%."(%/" )0.0%*$%"(%/"4(%"1=)$60=0%.+"•! C)$61/0+"1%/161/;(41F0/" 1%<$)=(*$%"8$;)"+.(.0"2(%";+0""•! :(%"304"8$;)"+.(.0";%/0)+.(%/" 3$Y"8$;)")(2*20+"R=0(+;)0";S"•! N1%/"1."(."YYYc=(70%)$44c$)5" JH"
  14. 14. For More Information…JJJ(0./%256""(653" JV"

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