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Pieces of a Successful Exchange A summary of projects, state- wide, concerned with the implementation, operation, and success of the Colorado Health Benefits Exchange “The successful implementation of the exchange is a cornerstone of meaningful health reform.” -Joan Henneberry
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Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Dec 16, 2015

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Page 1: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Pieces of a Successful Exchange

A summary of projects, state-wide, concerned with the implementation,

operation, and success of the Colorado Health Benefits Exchange

“The successful implementation of the exchange is a cornerstone of meaningful health reform.”

-Joan Henneberry

Page 2: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Why are we involved?

LeadershipEducationAdvocacyDevelopmentScholarship

Page 3: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

•identify overlaps & gaps in projects & funding to efficiently coordinate state-wide efforts across sectors and interests

•help organizations, state officials, and policymakers understand what efforts different organizations are involved with, to collaborate effectively

Pieces of a Successful Exchange: GOALS

Page 4: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

How to collect the pieces

• Cast your net wide• Look at both sides• Be persistent• Collect the data people want• Make it usable

- visual - logistical- expositional

Page 5: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

•Exchange Workgroup – Benefits

•CO-OPs Research in the Chronic Care Community

•CO ACA Implementation Project – Phase 3, 4, 5

•Exchange Workgroup – Benefits

•Connect to Coverage, Connect to Care

• Exchange Workgroup – EVE, DAWG, Navigators

• Connect to Coverage, Connect to Care• Enrollment Strategic Assessment• Enrollment User Experience (UX) Project 2014

IT/Admin:user interface,

systems integration, data sharing,

vendor, administration,

evaluation

Stakeholder Engagement:

involvement of providers,

underwriters, plan providers, policy

makers

Exchange Content:primary benefits,

special needs, alternative coverage

(i.e. CO-OPs)

Consumer Engagement:

marketing, education, and

outreach to consumers and

small businesses

Pieces of a Successful Exchange

Page 6: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Snapshot of the Matrix

Proje

ct T

itle

Outcom

e/Goal

/

Product

Target

Populat

ion

Timel

ine

Fundin

g

Partn

er

Organ

izatio

ns

IT/A

dm

inis

trat

ion

Exchange Workgroup - Eligibility, Verif ication, and Enrollment (EVE)

organized by Colorado Health Institute

Address questions related to the formatting and

functionality of the Health Benefits Exchange to inform

the Exchange Board

Consumers up to 400% FPL

To be specif ied by the Exchange

Board

Federal Exchange

Planning Grant

See project summary for full list of represented organizations

Co

nsu

mer

E

ng

agem

ent Colorado ACA

Implementation Project phases 4 and 5

conducted by Colorado Consumer Health

Initiative

Hold 2 summits to disseminate the previous

Phases' f inding to 1) health care advocates and citizens

and 2) policy makers

Consumers, legislators,

advocates, and Exchange Board

November 2011ACA

Implementation Fund

CoPIRG, CCLP

Page 7: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Snapshot of project summariesIT/ADMINISTRATIVE FUNCTION TITLE: Exchange Workgroup – Eligibility, Verification, Enrollment (EVE)ORGANIZATION: Colorado Health Initiative (CHI) www.coloradohealthinstitute.org• Joan Henneberry, [email protected]

Planning Grant Director303-831-4220

• Jim Jones, [email protected] Coordinator720-633-7040

SUMMARY: This group was developed as a means of generating recommendations…

Page 8: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

•Exchange Workgroup – EVE, DAWG, Navigators

•Connect to Coverage, Connect to Care•Enrollment Strategic Assessment•Enrollment User Experience (UX) Project 2014

IT/Admin:user interface,

systems integration, data sharing, vendor,

administration, evaluation

Page 9: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Consumer Engagement:

marketing, education, and

outreach to consumers and

small businesses

Page 10: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Stakeholder Engagement: involvement of

providers, underwriters, plan providers, policy

makers

Page 11: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

•Exchange Workgroup – Benefits•CO-OPs Research in the Chronic Care Community

Exchange Content:primary benefits,

special needs, alternative coverage

(i.e. CO-OPs)

Page 12: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Filling in the gaps

Potential ProjectsEnrollment Van

CHATHealth Access Pueblo

partner with AHEC and County Coalitionspartner with SBMSpeakers Bureau

Page 13: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

Topics/questions still unaddressed?

• Engaging providers about the Exchange

• Consumers’ knowledge of benefits and insurance

• How do we bring people to the Exchange?

• Regional education and special needs evaluation

• Engaging underwriters and plan providers

Page 14: Pieces of a Successful Exchange A summary of projects, state-wide, concerned with the implementation, operation, and success of the Colorado Health Benefits.

We want to hear from you

Zachary TrenbeathIntern CCHI, MSII

[email protected]

Colorado Consumer Health Initiative www.cohealthinitiative.org

Kinsey RothIntern CCHI, MSII

[email protected]

Denise (Dede) de PercinExecutive Director CCHI

[email protected]

Chloe Benson

Colorado Voices for Coverage303-839-1261

[email protected]

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