Connect for Health Colorado Strategic Planning Review August 8, - PowerPoint PPT Presentation

Advancing Coverage in States Connect for Health Colorado Strategic Planning Review August 8, 2016 Advancing Coverage in States

Agenda • Review of Process • Focus Areas for Impact • Operational Considerations • Discussion • Formal Public Comment Advancing Coverage in States

Strategic Planning Process Advancing Coverage in States Advancing Coverage in States

Strategic Planning Process Public and Supported by Focus on the Future Stakeholders Research A strategic plan for the Engaged a wide range of Leveraged national expertise, as well as future of Connect for stakeholder from a broad Health required building variety of disciplines. management theory, on current successes and Public input to the plan operational research and looking forward. has been invited and the latest available data. encouraged. Advancing Coverage in States

Focus Areas of Impact Advancing Coverage in States Advancing Coverage in States

Focus Areas of Impact Assisting Coloradans to Better Understand Their Coverage and How to Use It Operational Options • Health Insurance Literacy • Using Health Coverage Guides • Broker Support • Networks, Tiers • Carrier Education Requirements • • Connect for Health Information Assets Co-Pays, Deductibles, Coinsurance • Using primary care, Measurement Opportunities preventive services • Customer Satisfaction Surveys • Service Center Topic Tracking • Utilization Data • Provider Surveys Advancing Coverage in States

Focus Areas of Impact Improving Access to Coverage in Rural Areas of Colorado Operational Options • Availability of Carriers • Carrier Negotiation/Requirements • Availability of Product • DOI Oversight – Rural Network Adequacy in QHPs Types (HMO, PPO, POS) • Network adequacy for Measurement Opportunities QHPs • Customer Satisfaction Surveys • Data from DORA/DOI • Provider Surveys Advancing Coverage in States

Focus Areas of Impact Increasing the Number of Consumers Taking Advantage of Financial Assistance Operational Options • Among the lowest • Simplify Financial Assistance Eligibility • Require Eligibility Application to Shop takeup of APTCs in • Increased support/training on eligibility for State-Based brokers Marketplaces • 45% of plan selections are Bronze Measurement Opportunities – Ineligible for CSR • Financial assistance uptake by channel • Live user experience testing of eligibility process • APTC/CSR uptake metrics Advancing Coverage in States

Focus Areas of Impact Reducing Complexity / Improving the Ability of Consumers to Obtain the Right Coverage for Their Needs Operational Options • Number of choices in some Demand Side • Consumer Tools regions is overwhelming • Assistance Channels • Complexity of Supply Side • Carrier Offering Requirements plans/changing networks • Meaningful Choice Measurement Opportunities • Customer Satisfaction Surveys • Service Center Topic Tracking • Assister Surveys • Provider Surveys • Plan Selection Analysis Advancing Coverage in States

Focus Areas of Impact Increasing the Quality of Tools and Services that Connect for Health Colorado Makes Available to Customers, Assisters, Small Employers and Brokers Operational Options • Customer (consumer, • Service Center Training • Consumer tools assister, broker) • Assister tools service can be a differentiator • Tools that support self-service Measurement Opportunities enrollment and • Customer Satisfaction Surveys increase financial • Service Center Metrics assistance uptake • Assister Surveys Advancing Coverage in States

Operational Considerations Advancing Coverage in States Advancing Coverage in States

Operational Considerations Understanding Rural Access Financial Choice & Tools and Coverage Assistance Complexity Services Remaining a Trusted & Transparent Partner Becoming a Consumer Advocate Supporting Adaptable Assistance Supporting a Broker- Friendly Marketplace Technological Considerations Lean Organization Advancing Coverage in States

Operational Considerations Understanding Rural Access Financial Choice & Tools and Coverage Assistance Complexity Services Remaining a Trusted & Transparent Partner Becoming a Consumer Advocate Supporting Adaptable Assistance Supporting a Broker- Friendly Marketplace Technological Considerations Lean Organization Advancing Coverage in States

Discussion Advancing Coverage in States Advancing Coverage in States

Public Comment Advancing Coverage in States Advancing Coverage in States