The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.
In recent months, there’s been an increased interest in improving access to health care for people who are recently released from incarceration or otherwise involved in the criminal justice system. While incarcerated, people generally cannot get access to health care through Medicaid or the marketplace. But when they are released, many are eligible. Assisters in a number of states are working to help what is known as “the justice-involved” population enroll in health coverage, both through the marketplace and in Medicaid.
After expanding Medicaid, eight states (Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington, and West Virginia) are expected to achieve budgetary savings and revenue gains exceeding $1.8 billion by the end of 2015, according to a report published yesterday. And that’s even though these states are fairly early into their Medicaid expansion.
Over the past two decades, state-based consumer advocates and health care practitioners have worked together to help low-income people—including those living in communities of color or with chronic medical conditions—gain access to health coverage. As more people gained insurance coverage, consumer advocates and health care providers focused their attention on improving the patient’s experience with the health care system.
The second open enrollment period just ended—and it was a tremendous success. The fact that enrollment systems functioned much better this time around certainly made it easier for people to enroll. But there’s no doubt that the commitment and creativity of 23,000 certified application counselors, navigators, and in-person assisters across the country have made big contributions to enrollment gains. In this enrollment period, we saw navigators and assisters reach new heights of creativity as they strove to find consumers and help them sign up for health insurance.