enrollment assistance program health insurance marketplace
Post on 19-Jan-2016
225 Views
Preview:
TRANSCRIPT
The Enrollment Assistance Program (EAP)
Through the Enrollment Assistance Program contract, SRA In-person Assisters provide consumers with unbiased enrollment assistance to understand all aspects of the application process.
Our program is funded through a contract with the Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO).
SRA International, Inc.• SRA is a contractor providing the following services to the
Federal government:– Professional Services– Domain Expertise– IT solutions
• SRA was founded in 1978 • We employ over 5,300 professionals • Devoting 10,000+ volunteer hours yearly to support community
programs• We are a leading service provider to the public and private
service health markets, including:– Health research– Health care– Veterans Affairs– Military Health– Public Health Programs
SRA and the Enrollment Assistance Program• We provide unbiased, in-person
assistance to facilitate enrollment in Qualified Health Plans (QHPs), primarily to hard-to-reach individuals in urban areas.
4
- Ohio Cincinnati- Georgia Atlanta- Texas Austin Houston San Antonio
• Support 11 cities in 6 states (2015-2016)
- FloridaOrlandoTampa
- IndianaIndianapolis
- New Jersey3 locations (TBD)
5
In-Person Assistance Makes it Easier to Shop in the Health Insurance Marketplace
Consumers receiving in-person assistance are twice as likely to successfully enroll in a qualified health plan.
* Enroll America: In-Person Assistance Maximizes Enrollment Success (March 2014)
6
Assistance for Healthcare Plan Enrollment
IPAs(Federal EAP Contractors)
Navigators (Grants to
NGOs)
Shared goal:Healthcare insurance plan enrollment
For more information, visit: http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/assistance.html
CACs
Agents and Brokers
8
Who We Help-No closed doors approach to enrollment
Our target demographic
• 18 – 34 year olds
• Uninsured individuals/families with
household incomes between 100% and
400% of the Federal Poverty Level (FPL)
• In Medicaid expansion states, consumers
with household incomes below 133% of
FPL who do not qualify for Medicaid
9
SRA’s In-Person Assisters
• Extensive training and experience beyond federal requirements
• Bilingual • Large compliment of In-
Person-Assisters available to support your enrollment efforts
• Committed to honest & excellent customer service
10
Consumer Satisfaction
.
Friend
lines
s
Wai
t Tim
e
Knowled
ge
Cleanl
ines
s & A
tmos
pher
e
Greeti
ng
Issue
Enc
ount
ered
Recom
men
d Offi
ce
Overa
ll Exp
erien
ce75.00%
80.00%
85.00%
90.00%
95.00%
100.00% 99.47%98.70% 99.28% 98.93% 98.74%
92.80%
98.35% 98.51%
Consumer Satisfaction Survey Results
Satisfaction Scores Goal
11
Enrollment Success Factors
• 75% of our enrollments occurred in our storefront locations
• 30% of consumers come to us from family or friend referrals
Our Goal• Raise consumer awareness
through outreach and educational efforts
• Partner with community organizations to access underserved populations and
• Provide unparalleled support to our community partners
• Provide unbiased in-person assistance to consumers throughout the enrollment period
• Maintain a strong presence in each community
• Provide a professional enrollment environment conducive to privacy
13
Partnership Opportunities
Outreach/Education Options • Presentations to your members/constituents to boost
health literacy and ACA information• Volunteer support at your events to raise awareness of
health insurance and enrollment assistance • Provide in-person assistance to your group throughout
open enrollment at our EACs
Communication Options • Announcements/ads for your newsletter
or other outreach channels• Social media linking• Joint press releases, media interviews• Customizable Marketplace Flyer campaigns
14
top related