nv health link presentation - ahip's exchange conference, june 2013
DESCRIPTION
TRANSCRIPT
![Page 1: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/1.jpg)
Nevada Health Link
June 12, 2013
Implementation Challenges
AHIP’s Exchange Conference
Operated by the Silver State Health Insurance Exchange
![Page 2: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/2.jpg)
Agenda
1. Goals of the Exchange
2. Status of Implementation
3. Finance and Sustainability Plan
4. Outreach and Education
Can we do what we
say we will do?
![Page 3: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/3.jpg)
Goals of the Exchange
• Increase the number of insured persons in Nevada
• Measures: Enrollment; uninsured rates
• Facilitate the purchase and sale of health insurance
• Measures: Satisfaction surveys; appeals rates; unsubsidized
enrollment; percent of customers that stay with their plans in
subsequent years; budget; PMPM costs
3
Strategic Plan
![Page 4: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/4.jpg)
Goals of the Exchange
• Assist qualified employers in the enrollment and purchase of
health coverage and the application for subsidies for enrollees
• Measures: Employer enrollment; satisfaction surveys
• Provide consumer education on matters relating to enrollment in
and effective use of health insurance
• Measures: Awareness; seminar attendance; satisfaction
surveys
4
Strategic Plan
![Page 5: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/5.jpg)
Goals of the Exchange
• Assist residents of Nevada with access to programs, premium
assistance tax credits and cost-sharing reductions
• Measures: Testing; secret shoppers; unscheduled web portal
down time; enrollment within one session; enrollment within 7
days
5
Strategic Plan
Can we meet these measures?
![Page 6: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/6.jpg)
• Nevada has received Conditional Certification from the Secretary of U.S.
HHS to operate a State-Based Exchange
• The Exchange Board has approved 35 substantial recommendations of
the Advisory Committees
6
Status of the Development and
Implementation of Nevada Health Link
Are policies appropriate to
ensure geographic coverage?
Do Nevada policies add cost?
New regulations?
![Page 7: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/7.jpg)
• IT Implementation is on-time: Eligibility Engine (DWSS/Deloitte) and
Business Operations Solution (Exchange/Xerox) will meet the October 1,
2013 deadline for operability
7
Status of the Development and
Implementation of Nevada Health Link
Will the Federal Hub be ready?
Will testing go smoothly?
Will certification go smoothly?
![Page 8: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/8.jpg)
• Eleven group carrier onboarding meetings complete (January-May)
• Ongoing one on one meetings in tech, ops and fulfillment tracks
8
Status of the Development and
Implementation of Nevada Health Link
Will QHP rates and plan designs
be correct in system?
Will enrollment be effectively
communicated?
Will billing be correct?
![Page 9: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/9.jpg)
• ACA Federal Establishment Grants
• Fees Charged to Carriers for
Exchange Enrollment
• Advertising
9
Finance and Sustainability Plan
Will fees disadvantage QHPs?
Are reserves and fees sufficient?
![Page 10: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/10.jpg)
Staffing Plan Staff for policy and
contract support only
10
Executive Director
Executive Assistant
Chief Operating Officer
Grants and Project Analyst
Finance & Research Officer Information Technology
Officer Communications Officer
Administrative Assistant
Information Technology
Analyst
Training Officer
Quality Assurance Officer
Benefits Manager
Administrative Assistant
New Positions (4)
Effective 7/1/13 and 10/1/13
Current Positions (9) Board
Are staffing levels appropriate?
![Page 11: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/11.jpg)
Outreach and Education • Plan for Navigators, Enrollment Assisters and Producers
- 44% of enrollees will use Exchange Enrollment Facilitators (EEFs)
• Certified by the DOI – AB425
• Navigators - $370,000, ~34 individuals in FY 2014
• Enrollment Assisters - $1,826,000, ~169 individuals, FY
2014
• Certified Application Counselors – not paid by Exchange
11
Are EEFs sufficiently trained?
Do we have enough EEFs?
![Page 12: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/12.jpg)
Outreach and Education • Plan for Navigators, Enrollment Assisters and Producers
- 22% of enrollees will use Brokers and Agents
• Paid by carriers
- 30% of enrollees will use Web Portal with the help of a Call Center
• 50 plus individuals in Las Vegas (staff size flexes with
demand)
- 4% of enrollees will use Web Portal alone
12
Can the call center meet demand
(staff size; training)?
Will Brokers step up?
![Page 13: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/13.jpg)
Marketing/Branding/Outreach
• $5,419,900 budget for 15 months
• Contract began January 2013
• Goal: Enroll 118,000 persons, mainly in 138% to
400% of FPL
• Reach hundreds of thousands of Nevadans
directly with outreach
13
![Page 14: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/14.jpg)
Overview of Marketing/Outreach
14
![Page 15: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/15.jpg)
Outreach
• Partnering with numerous
non profits serving this
population
• Presence at events, festivals,
neighborhood venues
• Presentations; Door to door campaign
• Grassroots, person to person approach
15
Will outreach be sufficient?
![Page 16: NV Health Link Presentation - AHIP's Exchange Conference, June 2013](https://reader036.vdocuments.mx/reader036/viewer/2022062617/54c2cb084a7959c4688b45ad/html5/thumbnails/16.jpg)
Nevada Health Link Operated by the Silver State Health Insurance Exchange
2310 South Carson Street, Suite 2
Carson City, NV 89701
(775) 687-9939
www.exchange.nv.gov
We will be ready