2015 Open Enrollment Begins Nov. 15

Health care coverage is an essential component of achieving the AHA’s vision of healthy communities, where all individuals reach their highest potential for health. The Affordable Care Act (ACA) continues to hold the promise of extending coverage to more than 25 million uninsured Americans through a combination of public programs and private-sector health insurance expansions. In 2014 alone, 7.3 million people were enrolled in health care coverage through the new marketplace and over 8 million received coverage through Medicaid making great progress toward that 10 year goal of 25 million.

With the open enrollment period for the 2015 Health Insurance Marketplace beginning November 15, it’s critical for all community stakeholders, including hospitals, to continue to reach out to consumers and make the enrollment process easy, accessible and widely available.

Below you’ll find a selection of resources to help you navigate the Health Insurance Marketplaces and Medicaid and Children’s Health Insurance programs as well as tools to support your enrollment efforts.


Community Connections Enrollment Toolkit (November 2014)

AHA and Enroll America Webinar - Strategies on Coverage, Outreach and Enrollment (October 9, 2014) Audio File, Slide Presentation

Webinar - Health Insurance Marketplace Enrollment (September 23, 2014)

Regulatory Advisory - Update on 2015 Regulatory Actions for ACA Marketplace and Medicare Advantage (July 3, 2014)

Members-Only Webinar - Hospital-based Medicaid Presumptive Eligibility and Enrollment (March 4, 2014)

HHS/AHA Special Enrollment Webcast (January 23, 2014)

Webcast: Expanding Health Coverage – Special webcast on working with community stakeholders on health insurance enrollment (Sept. 2013)

Get Enrolled Case Examples

AHA Member Advisory: Understanding and Monitoring New Insurance Coverage Issues (Jan. 8)

Special Bulletin: Resources to Help Consumers and Providers with Insurance Coverage Questions (Dec. 2013)

Special Bulletin - Medicaid Presumptive Eligibility Hospital Toolkit Available (Aug. 2013)

Special Bulletin – CMS Rule on ACA provisions Related to Eligibility and Enrollment for Medicaid and CHIP, Presumptive Eligibility and Coordination with the Insurance Marketplaces. (July 2013)

Member Advisory - Helping People Get Insurance Coverage: Options for Hospitals (July 2013)

Special Bulletin – CMS Rule on Marketplace Standards for Navigators & Others (July 2013)

Regulatory Advisory – Update on Implementation of ACA Insurance Reforms (March 2013)

Special Bulletin – HHS Rule on Essential Health Benefits & Related Provisions (Feb. 2013)  

 

State Health Reform Assistance Network – Boosting Enrollment: Lessons Learned from 2013-2014 (August 2014)

National Conference of State Legislatures - Medicaid and Marketplace Outreach and Enrollment Options for States (May 2014)

Enroll America – Provides a number of enrollment resources, webinars, maps and state profiles, including the new Certified Application Counselor (CAC) Organization Toolkit,  State and Regional Staff Contacts and the resource paper: Promising State Approaches for Using Hospital Presumptive Eligibility (Feb. 2014).

Robert Wood Johnson Foundation (RWJF) – Provides information around enrollment and the ACA for a variety of audiences. See the issue brief: Implementation of the Affordable Care Act’s Hospital Presumptive Eligibility Option: Considerations for States (Nov. 2013).

Alliance for Health Reform – Offers ACA information and resources, including sourcebooks, issue briefs and toolkits. Includes Marketplace Enrollment Helpers Toolkit and ABCs of the ACA – What You Need to Know.

CMS Health Insurance Marketplace – Offers training materials and outreach and education tools including consumer materials and resources for presentations and promotion (many available in Spanish). See Outreach to Special Populations.

Health Resources and Services Administration (HRSA) Provider Toolkit – Includes patient handouts and education, training and additional information.

Substance Abuse and Mental Health Services Administration (SAMHSA) Enrollment Coalitions Initiative – Offers several toolkits for behavioral health and other community-based organizations and professionals to help patients sign up for insurance coverage.

Get Covered America – This site from Enroll America is directed at consumers with an emphasis on public awareness and grassroots efforts.

Get Covered Calculator: Estimate Your Costs

The Center for Consumer Information Insurance Oversight - In-Person Assistance in the Health Insurance Marketplace

Cut the Cost of Health Insurance - Consumers Union State by State Information on New Health Premium Tax Credits

New Chart - State Approaches to Consumer Assistance Training

BusinessUSA - Information for small businesses about new health care changes

Catholic Health Association of the United States - Animated video on Enrollment and Presumptive Eligibility

HealthCare.gov – This consumer site offers a wealth of resources in plain English, such as “What is an Insurance Marketplace?” and live chats. Plus there’s a Spanish sister site.

Medicaid Enrollment: Your Guide for Engaging People Experiencing Homelessness

Kaiser Family Foundation – Find health reform facts and tools, including a consumer-friendly video explaining the ACA, to use with your community.

StateReforum - An online network for health reform implementation.

Click on the map to view state-specific health coverage resources, such as insurance commissioner, Medicaid and CHIP enrollment, Marketplaces and resources from your state hospital association. 

   

Latest News: 

New Toolkit for Certified Application Counselor Organizations - In preparation for the next open enrollment period, Enroll America is working to help new and existing Certified Application Counselor (CAC) organizations identify individual CACs. Their new Certified Application Counselor (CAC) Organization Toolkit includes information on how to become a CAC organization, recruit volunteers to serve as individual CACs, and identify other community partners to work with.


Lessons Learned for Boosting Enrollment – Coming out of the initial enrollment period, the State Health Reform Assistance Network released the issue brief  Boosting Enrollment: Lessons Learned from 2013-2014 (August 2014) that details observations drawn from Colorado, Connecticut, Kentucky, Rhode Island, and Washington, to offer recommendations intended to maximize enrollment in Qualified Health Plans moving forward. An executive summary of this issue brief provides an overview of the topic, including a brief synopsis of the authors’ recommendations for optimizing future enrollment.


Enrollment and Outreach Options and Strategies for States – The National Conference of State Legislatures posted the issue brief Medicaid and Marketplace Outreach and Enrollment Options for States (May 2014) discussing outreach and enrollment requirements under the ACA and highlighting common challenges, and promising outreach and enrollment strategies and options.

 

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