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The latest useful materials on how health reform is affecting Illinois, to help you navigate the changing landscape.


RESOURCES FOR YOU

 Q:   Illinois Immigrant Health Resources This page of resources at the ICIRR, Illinois Coalition for Immigrant and Refugee Rights, includes pamphlets on immigrant health access options, a handout for undocumented on their health options, and other information on how to help immigrants and refugees obtain health care. They are presented as part of the Immigrant Family Resource Program.

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 Q:   Advocating for Clients and Promoting Provider Networks in Medicaid Coordinated Care This February 2013 presentation explains initiatives taking place in Illinois and offers key considerations regarding provider networks and client advocacy in the new delivery system. Presenters include representatives from from the Health Medicine Policy Research Group, Age Options, and Aetna Better Health of Illinois.

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 Q:   What Providers Need to Know about Care Coordination Entities Care coordination entities work to form alternative models of delivering care to Medicaid clients through provider-organized networks, initially organized around the needs of Illinois’ most complex clients - seniors, and persons with disabilities, and children with complex medical needs. This 22-minute video of a webinar from the Illinois Department of Healthcare and Family Services was posted by Illinois Health Connect in December 2013.

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 Q:   Medicaid Consumer Engagement Toolkit Federal guidance from the Centers for Medicare and Medicaid Services calls upon states to ensure the voices of older adults, persons with disabilities, and their caregivers, are heard in the design, implementation, and oversight of Medicaid demonstrations such as the Medicare Medicaid Alignment Initiative. This toolkit from Community Catalyst provides strategic guidance to providers and health plans on how to involve Medicaid consumers in developing a new delivery system.

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 Q:   Community Health Needs Assessment Hospital Toolkit Tax-exempt and non-profit hospital systems are required to demonstrate the benefits to communities served through a Community Health Needs assessment. This toolkit from Community Catalyst provides hospitals with resources hat help clarify key terms and requirements under the ACA, and explain how to engender grass-roots participation and how to utilize health data.

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 Q:   Contract Negotiations with Health Plans This article from a 2006 issue of the journal Family Practice Management shares still-pertinent recommendations for practicing health providers on how to successfully negotiate a contract with a health plan that protects provider interests. Included in this article are contract deal breakers and key parts of a contract that providers should seek before joining a network.

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 Q:   Data Matching and Immigration Status Update This mid-September 2014 CMS update reports that the federal Marketplace has begun sending notices to consumers who have an income-related data matching issue. Those who do not respond by September 30, 2014 may see the costs of their coverage change. (more…)

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 Q:   Types of Managed Care Entities This concise two-page cheat sheet shared in September 2014 by the Children’s Services GOHIT subcommittee explains the differences among the various managed care entities.

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 Q:   Resources for Agents and Brokers in Health Insurance Marketplaces Guidance, news and regulations; what a broker needs to know about the Small Business Health Options Program and Federally Facilitated Health Insurance marketplaces is all in one place in this quick-reference guide from the Centers for Consumer Information & Insurance Oversight at CMS.

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 Q:   Health Insurance Literacy Library Digital tools, fact sheets and other handouts, and videos to help fill gaps in health insurance literacy among consumers and assisters. These materials have been sent to Enroll America by a variety of enrollment stakeholders.

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 Q:   2014 Voter Priorities: Fed Budget and the ACA Just in time for the 2014 election, the National Priorities Project examines voter concerns regarding the Affordable Care Act and healthcare spending bringing to light public opinions. This fact sheet also prompts readers on questions for congressional candidates.

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 Q:   Medicaid and Managed Care Toolkit This collection of resources from the Make Medicare Work Coalition shares the ins and outs of Medicaid Care Coordination, including webinars, policy briefs, and fact sheets on the Integrated Care Program and the Medicare Medicaid Alignment Initiative.

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 Q:   CMS Assister Recertification Bulletin This August 2014 bulletin from CMS gives guidance on training, certification, and recertification requirements applicable to federally-facilitated and state partnership Marketplace consumer assistance programs: navigator, non-navigator assistance personnel, and certified application counselors.

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 Q:   Limited Circumstance Special Enrollment Periods This August 2014 fact sheet from CMS describes two limited circumstances, beyond life events and other previously announced limited circumstances, that consumers may experience which make them eligible for a special enrollment period.

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Patient Portal Features: Benefits and Frustrations for Consumers

Reports show that providers have struggled with patient portal adoption. Educating patients about patient portals is clearly the first step, but according to this 2014 Software Advice report maintaining their involvement depends heavily on understanding both the features they find beneficial and the frustrations that can drive them away.

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