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  • Topic: Health plans
  • Content Type: Toolkit
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Determining Health Benefit Designs to be Offered on a State Health Insurance Exchange

November 1, 2011 | Toolkit

The series' third installment reveals several key lessons in developing the part of the Massachusetts' exchange serving unsubsidized, individual purchasers—known as Commonwealth Choice.

B Resource Guide: Choosing a Health Plan

January 1, 2011 | Toolkit

What’s in this guide: Definition of group health plans Why offer a group health plan? How to choose a group health plan

Primer on Post Claims Underwriting and Rescission Practices

November 25, 2009 | Toolkit

This case study examines the current state of post-claims underwriting and rescissions regulation in Texas.

Welcome to the ROI Forecasting Calculator

January 1, 2007 | Toolkit

The ROI Templates comprise an Excel-based, back-end tool designed to capture data on the costs of implementing quality improvement initiatives, as well as the savings associated with changes in patient utilization that result from these initiatives.

Health Plan Contracting

February 27, 2011 | Toolkit

A fundamental question in contracting for an ECR with an existing provider organization is whether to make ECR payments prospectively or retrospectively.

Effective Education, Outreach, and Enrollment Approaches for Populations Newly Eligible for Health Coverage

March 1, 2012 | Toolkit

The Health Reform Toolkit Series focuses on outreach and enrollment for those newly eligible under ACA. It offers ideas and resources that may be useful as states plan and implement their own outreach and enrollment efforts, with a particular focus on those individuals and families who will be newly eligible for Medicaid or subsidized insurance coverage in 2014.

Promoting Racial and Ethnic Health Equity Through Exchanges Talking Points

March 1, 2012 | Toolkit

Talking points include four key messages and a variety of sub-points that support and reinforce the key messages. While the key messages can be used across audiences, the supporting points should be tailored based on the audience.

What Categories of Race/Ethnicity to Use?

September 5, 2008 | Toolkit

The Health Research Educational Trust recommends using a single race and ethnicity question that includes a Hispanic or Latino option.

Harvard Pilgrim Health Care: Pilot Test of IVR Outreach Calls as a Mechanism for Collecting REL Data

September 5, 2008 | Toolkit/Story

Background Harvard Pilgrim HealthCare (HPHC) has been using Interactive Voice Response (IVR) technology since 2003 to generate educational outreach calls to members who have not received necessary preventive or chronic care services within the recom ...

Chapter 5: Promising Practices in Interpreter Training and Competency Assessments

September 5, 2008 | Toolkit

Interpretation competency can be ensured through internal or external training.

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