Consumer health assistance programs, also known as ombudsman programs, educate patients and consumers about their health care rights and responsibilities, including insurance coverage, and identify, investigate and resolve complaints about health care coverage and services. The programs consist of three main types:
- State health insurance assistance programs that provide information, counseling and assistance on a wide range of Medicare, Medicaid and Medigap matters.
- Medicaid ombudsman programs to educate current and potential Medicaid beneficiaries about managed care plans.
- General health care ombudsman programs, created by states in response to the increasing complexities of both public and private health insurance.
- The project team established collaborative networks among the three main types of consumer health assistance programs, serving nearly 1,000 such programs nationwide.
- Partnership staff provided technical assistance services to strengthen consumer health assistance programs in all three networks and to stimulate cross-network communication and information sharing.
- The project team established the Health Assistance Partnership to help state health insurance assistance programs enhance their capacity to serve Medicare beneficiaries and their caregivers. Staff provided education and technical assistance through:
- User-friendly materials about Medicare and related health coverage.
- Annual conferences.
- A weekly electronic newsletter on timely issues and important topics.
- A Web site featuring numerous resources and tools.
The Robert Wood Johnson Foundation (RWJF) supported this unsolicited project with a grant of $5,359,435 to the Families USA Foundation, the organization's charitable entity.
The What's Next Health series features leading thinkers and visionaries. Stanford social scientist & innovator BJ Fogg discusses his model f...
Executive Nurse Fellow Jerry Mansfield explains why the University Hospital and the Richard M. Ross Heart Hospital do not have a BSN-only hi...
We create new opportunities for better health by investing in health where it starts—in our homes, schools, and jobs.
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
When companies invest in employee wellness, it’s good for health, productivity ... and the bottom line.
NewPublicHealth spoke with John Auerbach, professor at Northeastern University and the primary author of a report on the Trust, and Cheryl B...
Read highlights from college students’ recent trip to the front lines of health care in urban New Jersey.
NewPublicHealth spoke with the Julio Frenk, MD, MPH, PHD, Dean of the Harvard School of Public Health, about how public health has changed o...
The RWJF DataHub tracks state-level data, and allows visitors to customize and visualize facts and figures.
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...
Improved Prevention and Treatment Decrease U.S. Stroke Deaths - NHTSA Announces New Safety Efforts for Older Drivers - Poll: Parents Concern...
America is not getting good value for its health care dollar. These resources explore issues of cost and value of health care.