Exchange Public Website
A user-friendly website and a call center are key tools to help consumers and small businesses get the help they need to choose a plan, enroll, and stay covered.
*Milestone details:
*Full name: Develop specifications for a user-friendly Exchange website and a call center for Exchange customer service.
*Relevance to the ACA:
The ACA requires an Exchange to establish a toll free telephone hotline to assist consumers and to maintain a website that contains certain information and performs specific functions. Relevant sections include:
§1311 - Specifies that the Exchange must establish a toll free telephone hotline. It also must establish a website that must: (1) provide standardized comparative information about qualified health plans, including information to enable comparisons among plans on cost, quality and enrollee satisfaction; (2) include a cost-calculator; and (3) publish costs of licensing, regulator fees, any other payments required by the Exchange, administrative costs, and money lost to waste, fraud, and abuse.
§1311 - Directs HHS to provide a model website template that can (1) direct individuals and employers to health plans; (2) assist them in determining if they are eligible for tax credits or cost-sharing reductions and (3) provide standardized information on plans offered through the Exchange.
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Maryland
I was not sure where to ask this question but I was hoping someone could help me out on it. CMS issued a draft document called Federally Faciliated Exchange (FFE) - FFE API for Web Brokers/Issuers Conceptual Framework Document. The draft version I have is Version 1.0.2 dated January 19, 2013. I was told by CCIIO that they issued a new updated draft of this document last week to associations (AHIP). I can't seem to locate it. Can someone help me locate or send me the new verision? Thanks!
District of Columbia
Hi Ron- I don't have the updated document, but I was able to find this presentation which may be helpful to you.
If other users have a link to the updated document to share- please post it here!
New Jersey
GMMB has pulled together a slide of various Exchange names and logos.
California
The Pacific Business Group on Health recently released the third and final installment of its comprehensive report on how to ensure that the people joining a health benefit exchange end up with the plan that works best for them.
Read more: http://www.californiahealthline.org/capitol-desk/2012/12/exchange-gets-s...
District of Columbia
Nebraska recently released an RFP for a five year contract for the Nebraska exchange systems solution. The RFP includes services, operational solutions and technical support for the exchange. Also attached are the requirement appendices. Responses are due October 15, 2012.
California
The Pacific Business Group on Health has released a second installment of the business rules Exchanges can use to design their plan choice software so that it supports consumer choice of health plans. Among the topics that are addressed in Installment II:
o Consumer preferences defaults to encourage consideration of certain dimensions of a plan
o Plan choice dimensions of greatest importance to consumers
o Covered services content and display
o Using filters to winnow/organize list of health plans for consumers
These rules are based on a mix of evidence from plan choice research and from the rich consumer choice architecture research literature. Please contact Ted von Glahn, Senior Director at PBGH for more information (tglahn@pbgh.org)
California
The Pacific Business Group on Health has released a second installment of the business rules Exchanges can use to design their plan choice software so that it supports consumer choice of health plans. Among the topics that are addressed in Installment II:
o Consumer preferences defaults to encourage consideration of certain dimensions of a plan
o Plan choice dimensions of greatest importance to consumers
o Covered services content and display
o Using filters to winnow/organize list of health plans for consumers
These rules are based on a mix of evidence from plan choice research and from the rich consumer choice architecture research literature. Please contact Ted von Glahn, Senior Director at PBGH for more information (tglahn@pbgh.org)
District of Columbia
Consumers Union recently released a report entitled "Choice Architecture: Design Decisions That Affect Consumers Health Plan Choices." The study uses a review of web-based tools and structured interviews with designers to examine the choice architecture in leading health plan chooser tools, including eHealthInsurance, Consumers’ Checkbook, PBGH/CalPERS, the Massachusetts Connector, Medicare Plan Finder and a new design called User Experience 2014.
The report will be the focus of a short, 30-minute webinar on Thursday, July 12 at 4 Eastern. To register, visit http://consumersunion.enterthemeeting.com/m/8JBBVW78.
California
The Nevada State Purchasing Division, on behalf of the Silver State Health Insurance Exchange, issued an RFP seeking proposals from qualified vendors to provide a Business Operations Solution (BOS) to support the information technology and business functions of the Exchange. The vendor will be required to provide two important components. First, the vendors must provide a Software as a Service (SaaS) solution that meets Nevada’s requirements, develop required interfaces, provide ongoing hosting and operation of the Exchange IT solution, and provide the support services specified in this RFP. Second, as part of the BOS, vendors will also be required provide a Call Center that will provide assistance to individuals, employers, employees, and brokers prior to an individual’s enrollment in commercial health insurance coverage offered through the Exchange.
Responses are due by April 27, 2012.
District of Columbia
Enroll America is working with experts from the MAXIMUS Center for Health Literacy on a series of issue briefs about best practices for writing and designing materials--like exchange websites, applications, instructions, and marketing materials--that are clear, easy to read and understand, and that make it easier for people to enroll in health coverage. The first installment in this series, An Introduction to Health Literacy and Enrollment, is attached. Stay tuned for future briefs in this series in the new year.
Connecticut
Business Process and IT Operations RFP:
Maryland
Maryland Health Benefit Exchange Request for Proposals - Call Center - Consumer Assistance Inventory and Road Map
District of Columbia
AARP recently released a new report that responds to the need to develop a website that provides plan information with information on health plan quality and performance. Given the risk that plan performance information may be incomprehensible or meaningless to the average consumer, AARP contracted with Carol Cronin of the Informed Patient Institute to examine health plan reporting and report cards.
The report, State Health Insurance Exchange Websites: A Review, Discussion and Recommendations for Providing Consumers Information about Quality and Performance, offers a wide range of factors for states to consider in creating a HIX website and a pathway to designing sound specifications. The report highlights ways information about quality and performance are already being shared and compared through websites and report cards. The report also shares useful examples of existing websites that can be sampled to get an understanding of the experience of using a website to evaluate health plans. Finally, it helps stakeholders consider the best way to incorporate additional information that can help consumers evaluate and select plans in an Exchange.
We hope that you'll find this useful - feel free to contact me if you have any questions or feedback!
District of Columbia
This application for the Early Innovator grant details the current specifications of the Massachusetts Connector, including a website where consumers can purchase insurance coverage. Access the application here: http://www.statereforum.org/sites/default/files/ne_innovator_grant_app.pdf
Massachusetts
Building an Effective Health Insurance Exchange Website
This toolkit offers resources to help states plan, build, and implement health insurance exchange websites.
This Health Reform Toolkit Series is designed to share examples, templates, experiences, and lessons learned from Massachusetts’ implementation of health reform to help states plan, build, and implement elements of the ACA. Each toolkit will include a written narrative “guide” as well as a variety of primary source documents: organizational structures, job descriptions, requests for proposals (RFPs) and quotations (RFQs), and other work products from Massachusetts’ health reform implementation experience.
Massachusetts
We recently released the first in our Health Reform Toolkit Series: Resources from the Massachusetts Experience.
http://bluecrossfoundation.org/Health-Reform/Lessons/Toolkit-Series.aspx
This Health Reform Toolkit Series is designed to share examples, templates, experiences, and lessons learned from Massachusetts’ implementation of health reform to help states plan, build, and implement elements of the ACA. Each toolkit will include a written narrative “guide” as well as a variety of primary source documents: organizational structures, job descriptions, requests for proposals (RFPs) and quotations (RFQs), and other work products from Massachusetts’ health reform implementation experience.
Building an Effective Health Insurance Exchange Website
This toolkit offers resources to help states plan, build, and implement health insurance exchange websites. (April 2011)
http://bluecrossfoundation.org/Health-Reform/Lessons/~/media/Files/Healt...
We hope you'll find this useful - please let me know!
District of Columbia
This issue brief explores the potential goals of an Exchange in WA, including: reducing the number of uninsured and increasing access to care; ensuring greater accountability and transparency; increasing the portability and continuity of coverage; simplifying health insurance purchasing; increasing competition in the health insurance marketplace; and driving quality improvement and cost containment. Access the brief here: http://www.statereforum.org/sites/default/files/waexchange_goalvalue_iss...
District of Columbia
This document lists important questions for Exchange planning to be answered in future issue briefs and possibly by an Exchange Development Board. Questions are in such areas as organizational structure, functions and responsibilities, administration, and sustainability. Access the document here: http://www.statereforum.org/sites/default/files/waexchange_keyquestions_...
District of Columbia
This report outlines the major decisions facing New Mexico as the state works to implement the many provisions of the ACA.
Access the report here:
http://www.statereforum.org/sites/default/files/nm_federal_hcr_strategic...
District of Columbia
These comments include suggestions for ways that HHS can facilitate state planning for and implementation of insurance Exchanges.
Access the comments here:
http://www.statereforum.org/sites/default/files/new_mexico.pdf
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