Washington Health Benefit Exchange

Outreach Technical Advisory Committee

June 13, 2014

Meeting Protocol

▪ Open public meeting

▪ Callers are in listen-only mode

▪ Participation limited to Outreach TAC Members

▪ Public comment period at end of meeting

▪ GotoWebinar▪ Chat feature▪ Raise your hand▪ We will unmute committee members (please mute

your own phone)

2

3

Outreach Technical Advisory Committee Membership

Eric Earling Premera

Carrie Glover Within Reach

Julie Severson Neighborhood House

Matthew McColm Office of Raul Martinez Farmers Insurance

Robin Hilleary Moda Health

Sally Mildren Coordinated Care

Courtney Normand Planned Parenthood Votes Northwest

Patricia Gepert Wash. Association of Community and Migrant Health Centers

Brittany Jones Cowlitz Indian Tribal Health Clinic new!

Suzanne Pak Cornerstone Medical Services

Dr. James Polo Mary Bridge Children’s Healthcare

Grace Sandoval Healthpoint

Mary Wood Health Care Authority

Agenda

4

• Welcome and HBE Update• 2015 Budget Development Process• Preliminary Findings - Wakely• HCA Update• Real People Real Stories• Questions & Public Comment

Washington Health Benefit Exchange

Health Benefit Exchange Update

July 11, 2014

Kelly Boston

HBE Updates▪ July release▪ Streamlined display of eligibility results ▪ More details on invoices to explain charges/credits▪ Improvements to Native American application process▪ Enrollment transactions updated▪ Application corrections (app malfunction, 3063, 3065, 3013)▪ Data fixes on applications with errors

▪ New health carriers and plans – OIC (late July-early August)

▪ Initial demographic reports progressing

▪ Health literacy assessment progressing

6

2015 Budget Development Process

▪ Presented to Board at June meeting

▪ Board will resume discussion at July meeting

▪ Action in August-September

▪ Submit ‘final” budget in September

▪ Budget period begins January 1, 2014

7

Preliminary Findings - Wakely▪ Assess HBE performance/results through open enrollment▪ Addressing Navigator and Agent-Broker Results▪ Qualitative/quantitative▪ Strengths, gaps, observations, recommendations

▪ Interviewed 60+ individuals▪ Lead Organizations▪ Partners▪ Agents-Brokers▪ Navigators

▪ Preliminary findings – report is being finalized

▪ HBE decides what, if any action to take

8

Preliminary Recommendations – Sneak Peek

▪ Revisit composition and scope of statewide Navigator network▪ Assumes funding reductions▪ Separate enrollment targets for QHPs▪ Navigator-Agent/Broker guidelines and promotion of partnerships▪ Centralize troubleshooting/system support at HBE

▪ Increased use of Certified Application Counselor role▪ Education campaign geared to hospitals/clinics

9

Expand Role of Federally Qualified Health Centers (FQHCs)

▪ CHC Navigators responsible for 60%+ of Navigator enrollments in WAH and QHP

▪ Expected to receive continued funding ($4.5 million) in 2015

▪ WACMHC receives grant for outreach/enrollment technical assistance to CHCs

10

Broker “Designation”

▪ Recognize high producing brokers with higher level support

▪ Recruit/encourage higher involvement of inactive brokers

▪ 1,415 brokers enrolled 43,984 individuals in QHP

▪ 1,319 brokers enrolled 30,657 in WAH

11

Align Navigators-Producers▪ Establish closer alignment between Navigator-Producer programs▪ Consistent messaging▪ Collaboration, partnering▪ Shared training, support troubleshooting

▪ Create opportunities to bring Producers-Navigators together▪ Social events, speaking engagements, enrollment events

12

Enrollment Activities

▪ “Pop up” Enrollment Centers▪ Libraries, community sites with heavy traffic▪ Staff with rotating schedule of brokers and navigators

▪ “All Hands on Deck” Enrollment day throughout the state▪ Mass enrollment event, heavily marketed

13

Enrollment Activities

▪ “Pop up” Enrollment Centers▪ Libraries, community sites with heavy traffic▪ Staff with rotating schedule of brokers and navigators

▪ “All Hands on Deck” Enrollment day throughout the state▪ Mass enrollment event, heavily marketed

14

Key Challenges

▪ Training

▪ System Performance

▪ Renewals

▪ Call Center

▪ Partnering

▪ Cross-agency communication-coordination

▪ Issue resolution process (Zen Desk)

15

Other Updates

▪ Health Care Authority (HCA) - Mary Wood

▪ Real People Real Stories – Bethany Frey, HBE

▪ Comments, Questions

▪ Public Input

16

17