Health Navigators, University of Georgia
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from Sheri Lokken Worthy, Ph.D. Professor and Head Department of Housing and Consumer Economics The University of Georgia
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- Utah opted to have a state-based Small Business Health Options Program (SHOP) Exchange called Avenue H, while using a Federally-facilitated Marketplace for individuals.
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This new plan for Maryland will impact the state’s economy in a significant manner. According to Governor Martin O’Malley, the new plan will help to stimulate job creation and propel the state’s economic growth, which will subsequently strengthen the middleclass (O’Malley, 2013). Furthermore, successful implementation of the Connector Program will aid to improve health outcomes among Maryland residents, which will reduce health costs in the long-term and boost the state’s economic development.
Maryland residents who were previously uninsured will benefit tremendously from the ACA. It will enable them to purchased health insurance at reasonable prizes. According to MHBE, approximately 250,000 residents in Maryland will benefit from new insurance cover because of expansion of Medicaid eligibility and creation of subsidized health insurance packages offered via Maryland Health Connection (MHC) (MHBE, 2013). Maryland Health Connection works in close proximity with insurance providers, advocates, insurance carriers and assisters to build a strong infrastructure that supports the diverse marketplace while ensuring that the previously uninsured enroll in affordable and quality plans.
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The document provides an overview of the Affordable Care Act and the roles of health insurance producers and navigators. It discusses:
- New terminology introduced by the ACA, such as Marketplace, qualified health plans, and medical loss ratio.
- Utah opted to have a state-based Small Business Health Options Program (SHOP) Exchange called Avenue H, while using a Federally-facilitated Marketplace for individuals.
- Producers must be licensed, appointed with insurers, and complete training to assist consumers on the SHOP Exchange and individual Marketplace. Navigators funded by grants must be licensed and complete training to provide consumer assistance on the Marketplace.
Enrollment in medicaid expansion and state exchanges
1. Beginning in 2014, the Affordable Care Act expands Medicaid eligibility and requires states to set up health insurance exchanges to provide subsidized coverage. This large expansion aims to significantly reduce the number of uninsured, including many who have mental health or substance abuse issues.
2. States will receive 100% federal funding from 2014-2016 to support expanding Medicaid eligibility and establishing enrollment systems. They are urged to simplify enrollment processes using online applications and data from other programs to maximize participation in the new coverage options.
3. Community organizations can help with outreach and on-site enrollment assistance, especially for those unfamiliar with public programs. States are encouraged to consider streamlined "Express Lane" eligibility models used successfully in CHIP
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The Mass HIway Overview of the State-wide Health Information Exchange
The document provides an overview of the Massachusetts statewide Health Information Exchange called the Mass HIway. It discusses the goals of the Mass HIway to improve care coordination, reduce medical errors and costs by enabling electronic sharing of health information. It describes the governance structure and services provided through the Mass HIway such as secure messaging and a participant directory. It also summarizes the Last Mile Program's initiatives to grow adoption of the Mass HIway and demonstrate improvements in care quality, population health and costs.
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Capital Metro implemented an innovative employee wellness program 10 years ago to address rising healthcare costs. The holistic program focuses on physical activity, nutrition, safety, and health screenings. It has helped save over $27 million compared to national healthcare costs and averages a $3.30 return for every $1 invested. Through its emphasis on employee health, the program has received numerous local and national awards and has been recognized as a model for other transit agencies.
Louisiana Health Cooperative (LAHC) overview
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CO-OPs, like LAHC, are non-profit, member-owned and member-governed health insurance companies with a focus on developing programs intended to improve the quality of health care delivered to members
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Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
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Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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www.StokeNewingtonHistory.com
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- 1. Health Navigators, University of Georgia
- 2. Program Overview DHHS Center for Medicare & Medicaid Services awarded $67 million in Navigator Cooperative Agreements to 105 entities to serve in the 34 Federally-facilitated and State Partnership Marketplaces. http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health- Insurance-Marketplaces/Downloads/navigator-list-8-15- 2013.pdf UGA’s College of Family and Consumer Sciences was the recipient of one of these awards.
- 3. Purpose & Goals Purpose:To deliver consumer information and education and to support Navigators to assist consumers and employers with the new federally-facilitate health insurance marketplace. Goals: Develop and implement a Marketplace awareness campaign in local communities, Engage state and local partners in educating the community about the Marketplace, and Provide navigation and individual assistance to consumers, employers, and employees.
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- 6. Resources https://healthcare.gov http://marketplace.cms.gov/ 1-877-7NAVIGATE (877-762-8442) www.uganavigators.org
- 7. How can you assist? Work with UGA Navigators by providing space and organizing meetings Apply to become a Certified Application Counselor Organization http://marketplace.cms.gov/help-us/cac.html Become a champion for coverage http://marketplace.cms.gov/help-us/champion.html