Eligibility and Enrollment System Redesign: Lessons Learned for Implementing the Affordable Care Act

The Affordable Care Act presents dramatic opportunities and challenges for states in transforming eligibility and enrollment systems for existing public coverage as well as new subsidies that will be available through Exchanges. Over nearly two years eight states participating in the Robert Wood Johnson Foundation's Maximizing Enrollment national program have focused attention and resources on their health coverage enrollment and retention systems. Building on an assessment of system strengths and weaknesses, these states have begun to implement new improvement strategies to streamline their systems. Lessons learned from their efforts to simplify processes, be more data-driven, develop technology to support client-centered systems, and promote a culture of coverage are relevant for other states which are working toward improved systems to successfully implement health reform.

 
This national briefing will focus on these early lessons learned from the Maximizing Enrollment grantee states that may help other states and federal policymakers in their efforts to redesign eligibility and enrollment systems to implement health care reform. Representatives from the National Program Office at the National Academy for State Health Policy (NASHP) and three Maximizing Enrollment grantee states will share key themes to date and their experiences in the following areas:

• Simplifying eligibility
• Tracking and integrating coverage across multiple programs
• Focusing on retention
• Shifting to a culture of coverage

Moderator:

Catherine Hess, Program Co-Director, Maxmimzing Enrollment/NASHP

Speakers:
Andrew Hyman, Coverage Team Director, Senior Program Officer, Robert Wood Johnson Foundation

Alice Weiss, Program Co-Director, Maximizing Enrollment/NASHP

Robin Callahan, Director of Member Policy and Program Development, Massachusetts Office of Medicaid
Jocelyn Guyer, Co-Executive Director, Georgetown Center for Children and Families   
James Jones, Deputy Administrator, Division of Health Care Access and Accountability, Wisconsin Department of Health Services
Ruth Kennedy, Medicaid Deputy Director,  Louisiana Department of Health and Hospitals
Cindy Mann, Deputy Administrator, Centers for Medicare and Medicaid Services, and Director of the Center for Medicaid, CHIP and Survey and Certification

To view the national briefing and individual speaker presentations please click here.