Bha 3002 Management Action Plan

Management Action Plan for Healthcare ReformImpactsThe fast-approaching deadlines to comply with the Patient Protection and Affordable Care Act (ACA) force state agencies to narrow the scope and functionality of public health insurance exchanges (HIXs).The federal and state exchanges will go live with limited operational capabilities, resulting in manual work-around processes.Public exchanges will eventually orient toward the commercial health insurance market and away from human services agencies.RecommendationsConduct a realistic assessment of exchange and Medicaid eligibility system project plans.Identify and triage gaps that pose the greatest risk to delivering first-class consumer service during the open enrollment period.Implement solutions and acquire services that provide the minimum necessary HIX 1.0 capabilities.Assess project resource levels to ensure adequate surge capacity for system testing, call center performance and timely application processing.AnalysisOn 1 October 2013, health insurance markets in each state will have a public exchange through which newly eligible individuals, families and small businesses can shop for affordable coverage among qualified health plans. This leaves state agencies and the federal government with less than one year to implement one of the most complex and far-reaching programs ever undertaken by government within such a