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Streamlining Eligibility and Enrollment:
Models for Health Reform Implementation


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What is Maximizing Enrollment?
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Maximizing Enrollment Grantees
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Diagnostic Assessment: Systems Approach
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Models for Reform
Reducing Processes and Paperwork
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Implementing New Technologies
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Increasing Reliance on Data
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Improving Culture and Coordination
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Self-Assessment Toolkit
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For More Information…




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Streamlining Eligibility and Enrollment: Models for Health Reform Implementation

  • 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&
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  • 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"
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  • 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/"" _"
  • 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. 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. 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. 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"/(.("" R'0)+$%&20%.0)0/S" •! ?%(48F1%5"?:W"/(.(".$"')1$)1*F0"()0(+"$<" 3153";%1%+;)0/"(%/".()50.")0+$;)20+" JJ"
  • 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"$%"1='40=0%*%5" /;)(>40"04151>141.8"2()/" J!"
  • 13. Self-Assessment Toolkit •! C;)'$+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"