Colorados Health Insurance Affordability Programs : Goals to - - PowerPoint PPT Presentation

Colorado’s Health Insurance Affordability Programs: Goals to Prioritize and Options to Consider to Create a More Direct Pathway to Health Coverage

Colorado Covering Kids and Families

Colorado Covering Kids and Families

• Statewide, coalition-based project
• Focused on increasing low-income Coloradans’

access to affordable health coverage and high quality health care

• Diverse membership of outreach and enrollment

professionals, community-based organizations, application assistance sites, and health care providers and advocates

History of The Maze

April 2009

The Maze: The Barriers that Keep Colorado’s Eligible Children and Families Out of Medicaid and CHP+ and Recommendations to Create a Direct Path to Enrollment

July 2010

The Maze One Year Later: An Update on the Progress to Create a Direct Path to Enrollment for Colorado’s Eligible Children and Families in Medicaid and CHP+

June 2012

Colorado’s Maze to Enrollment in Medicaid and CHP+: Progress Made and Opportunities for Improvement

November 2014

Colorado’s Progress Toward a Simplified Medicaid and CHP+ Enrollment System: 2014 Update

New Report

• First in Colorado to

document and examine the eligibility and enrollment process since the implementation of the Affordable Care Act (ACA)

What are Health Insurance Affordability Programs?

• Health First Colorado (Colorado’s Medicaid

Program)

• Child Health Plan Plus (CHP+)
• Advanced Premium Tax Credits (APTCs) and

Cost Sharing Reductions (CSRs) to purchase a qualified health plan through Connect for Health Colorado

Background

• Since the ACA was implemented, Colorado:
• Expanded Medicaid (now Health First Colorado)
• Began offering new health coverage programs (tax

credits and CSRs to decrease the cost of private insurance)

• Improved the process for applying for and enrolling

in health coverage

• Many more Coloradans are enrolled in health

coverage

Background

• Despite these successes…
• 353,000 Coloradans not enrolled in coverage

(6.7%)

• The application and enrollment process is still

complicated

• Many Coloradans face barriers when trying to

apply for, enroll in, and re-enroll in health coverage

What is in the Report?

• Visual and text description of the current

pathways individuals and families follow to enroll and stay enrolled in health coverage

• Nine goals to prioritize to simplify, streamline,

and coordinate eligibility and enrollment processes

• Legislative, regulatory, and administrative options

to reach each goal for decision makers to consider

Report was Informed by…

• 11 focus groups with assisters and their clients in

summer 2015

• Surveys completed by CKF coalition members in

2015 and 2016

• Conversations with the CKF Advisory Committee

and CKF coalition members throughout 2015 and 2016

• Research conducted by CKF staff

Points on the Path to Health Coverage

Awareness of the programs Application Eligibility Determination Enrollment Renewal

Pathways to Health Coverage

Nine Goals to Prioritize

• 1. Reduce churn and minimize gaps in health

coverage

• 2. Monitor and improve eligibility and enrollment

systems

• 3. Improve online and paper applications

Nine Goals to Prioritize (continued)

• 4. Improve client correspondence
• 5. Improve customer service support
• 6. Improve support for community-based assisters

and formalize their role

Nine Goals to Prioritize (continued)

• 7. Clarify, communicate, and improve renewal

processes

• 8. Improve and expand health coverage options.
• 9. Better coordinate and align the state Medicaid

agency, the Colorado Department of Health Care Policy and Financing, and the state’s health insurance marketplace, Connect for Health Colorado

Short T erm, High Impact Options

• Six fact sheets
• Improve transfer of information between systems and

entities

• Continue to simplify PEAK
• Improve client correspondence
• Prioritize the implementation of the integrated support

model

• Allow assisters to have access to additional information
• n a client’s case
• Improve and integrate training for assisters

Find the Report Online

• Full report
• Executive Summary
• Fact Sheets
• Handouts

http://ckf.cchn.org/publications/the-maze/

Questions?

Colorado Covering Kids and Families

CONTACTS:

Kristen Pieper, Senior Project Manager, kristen@cchn.org Stephanie Brooks, Policy Analyst, sbrooks@cchn.org Liz Tansey, Outreach & Enrollment Coordinator, ltansey@cchn.org

http://ckf.cchn.org