New Report Provides Guidance for States on Technology Infrastructure for Health Insurance Exchanges

Lessons from the “Early Innovator” and Advanced Implementation States

New Report Provides Guidance for States on Technology Infrastructure for Health Insurance Exchanges

One of the most challenging aspects for states working to implement health care reform is establishing the information technology (IT) infrastructure to promote access to and enrollment in health plans through exchanges and expanded Medicaid programs authorized by the Affordable Care Act (ACA).

A released by the University of Massachusetts Medical School (UMMS) and the National Academy of Social Insurance (NASI) examines the work and lessons learned from “Early Innovator” and other advanced states as they gear up for the changes brought on by health care reform.

“There are huge opportunities but also technological challenges for states as they implement the requirements of health care reform, including many that take effect in 2014,” said Michael Tutty, Director of the Office of Health Policy and Technology at UMMS, and co-author of . “We hope that by sharing the experiences of other states, particularly those that have been working on implementation the longest, we can bend the learning curve for policymakers and promote collaboration among those looking to prepare for and advance health care reform in their states.”

The report, authored by Michael Tutty and Jay Himmelstein, Chief Health Policy Strategist at UMMS, provides a thorough review of issues that policymakers should consider as they embark on a once-in-a-generation opportunity to build and enhance their own state-based technology infrastructures. Based on interviews with policy and technology leaders, five themes and takeaways arose as guidelines:

1) Agreeing upon a common vision, strategy, and plan for IT development is essential for meeting fast-approaching ACA deadlines;

2) The need for a careful assessment of a state’s internal and external IT resources;

3) Integration of policy and technology between an Exchange and a state’s Medicaid program is a complicated and pressing challenge;

4) Leveraging federal resources, reusing technologies developed by other states and federal agencies, and participation in multi-state collaboratives may accelerate development, and help minimize operational costs; and

5) Proceeding with development -- despite federal and state policy, technology, and political uncertainties – is necessary in order to meet aggressive federal implementation deadlines.

is a product of a NASI project funded by the Robert Wood Johnson Foundation to provide technical assistance to states developing health insurance exchanges. Related products include offering legislative language for policymakers implementing Exchanges and issue briefs on , , , and .

For more information aboutcontact Jay Himmelstein at or Michael Tutty at . For information about NASI’s Health Insurance Exchange project, please contact Lee Goldberg at or visit .