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

Maximizing Enrollment: Transforming State Health Coverage Event


8:30-11:00 am, December 10, 2010
Union Station, Columbus Room, Washington DC

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 for Kids 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 for Kids 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 and two Maximizing Enrollment for Kids 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; and Shifting to a culture of coverage.
Moderator: Catherine Hess, Program Co-Director, Maximizing Enrollment for Kids/NASHP