Washington Health Benefit Exchange

Outreach Technical Advisory Committee

January 9, 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)

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Agenda

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• Welcome and HBE Updates• Open Enrollment• Washington Healthplanfinder Business Update• Future Navigator Program

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Outreach Technical Advisory Committee Membership

Eric Earling Premera

Carrie Glover Within Reach

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

Jaelen Pace Volunteers of America

Suzanne Pak Cornerstone Medical Services

Dr. James Polo Mary Bridge Children’s Healthcare

Mary Wood Health Care Authority

HBE Updates – Enrollment Update▪ QHP enrollments = 141,000

▪ Apple Health (continuous enrollment)▪ Expansion population = 471,600▪ 9,300 renewing applicants moved from a QHP to WAH

▪ Special Enrollment Period starting Feb. 17▪ SEP Close date of April 17 (webinar Feb. 18)▪ System issues, did not understand penalty, instructions were unclear

▪ IT System Architecture and Code Review

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QHPs – new 51,000QHP renewals 90,000

HBE Updates – Efforts toward Renewals▪ Correspondence▪ Renewal letters and e-mails (November)▪ Survey

▪ Media▪ Press release/media tour and coverage (tv, radio, print, digital) (December, January)▪ PSA – Russell Wilson/Richard Sherman

▪ Call Center▪ Managing call volume with minimal waits during most hours▪ Open extended hours through Feb. 15▪ Reaching out to 2014 enrollees who have not renewed with 2 Robo-calls, 2 e-mails

▪ Navigators/Brokers▪ Reaching out to 2014 enrollees who have not renewed in 2015▪ Telephone/e-mail

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HBE UpdatesPremium Aggregation▪ HBE will discontinue collecting premium payments in 2016▪ Moving forward to target date of October 1, 2015

Adult Dental Plans▪ Stakeholder interest in promoting Adult Dental ▪ Difficult to implement by October 1

▪ Medicaid Plan Selection▪ Moving forward toward April release▪ Consumer usability▪ Community stakeholder updates – MPS@hca.wa.gov▪ Community stakeholder meeting February 18th 1-2 p.m

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Marketing & Outreach Update

▪ Seahawks PSA

▪ Enrollment Efforts▪ All Hands on Deck ▪ Community events▪ Ads

▪ Partnerships▪ KING 5 ▪ Univision▪ Live Nation

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HBE Updates - Budget

▪ No-Cost Extension across HBE programs through 2015

▪ Supplemental Federal Grant Request - 2015

▪ 2015 HBE State Operating Budget▪ HBE Leadership continues to meet with various Legislative Committees▪ HBE Budget request submitted with HCA package▪ $10 million allocation in Governor’s to DSHS for Medicaid enrollment

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New Tax Reporting Requirements

▪ Non-Healthplanfinder Coverage▪ Minimum Essential Coverage▪ Exemption▪ Shared Responsibility Payment (penalty)

▪ Healthplanfinder Coverage - Tax credits ▪ Advanced tax credits – taken monthly based on estimated income▪ Reconciled by IRS on income tax return based on actual income▪ Can use 1040, 1040A, 1040NR (but not 1040EZ)

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Customer Support

▪ Call Center CSRs – General Information

▪ Dedicated Account Workers ▪ Trained in tax-related areas▪ Assist with 1095-A errors

▪ New web page – 1095-A

▪ Infographic

▪ IPA-Broker ▪ Webinars▪ Partnerships with tax preparers

▪ Social media, digital ads

Legislative Bills of Interest

HB 1628, SB 5142

HB 1700, SB 5340

SB 5626

▪ Removes premium aggregation for the individual market. (HBE must aggregate premiums for SHOP by regulation.)

▪ Requires QHPs to pay claims for enrollees who are in a grace period. Requires HBE to notify individuals prior to termination for non-payment.

▪ HBE produce detailed monthly enrollment reports, including movement between QHP and WAH. Bi-annual reports with analysis of churn and coverage gaps.

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Washington Healthplanfinder Business Update

▪ 26 enrolled businesses (2015)▪ 33 total (2014-15)

▪ 2,044 employer accounts created

▪ Anticipated carrier participation for 2016:▪ Kaiser Permanente▪ Moda Health▪ United Healthcare (New!)

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Washington Healthplanfinder Business Marketing

▪ Partnerships▪ Puget Sound Business Journal▪ Office of Minority and Women’s Business

Enterprises▪ WA Society of Certified Public Accountants

▪ New Interactive Guide for Employers!▪ http://wahbexchange.org/coverage-bas

ics/who-can-sign/employers/

▪ New Fact Sheets available at: http://wahbexchange.org/partners/outreach-partners/business-toolkit/

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HBE Meetings

HBE Board Meeting February 26 9 am- 3 pm

Health Equity TAC February 24 1 pm – 2:30 pm

Dental Plan TAC March 2 1:30 pm – 3 pm

Advisory Committee March 5 1 pm – 3 pm

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More listed on Corporate site News Center – Meetings and Events

For discussion/input: Navigator Program Planning

▪ Role of the Lead Organization – Scope

▪ Network structure

▪ Partner Organizations

▪ Medicaid – QHP Enrollment Balance (targets)

▪ Certified Assister Designations

▪ Demand – volume of work long term

▪ Compensation

▪ Training

▪ Retention of enrollees year to year

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