NYSHF/UHF-Coordinating Medicaid and the Exchange in New York State

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The United Hospital Fund report, supported by NYSHealth, examines the organizational improvements necessary to successfully integrate New York's Medicaid program into the health insurance exchange.

To achieve seamlessness between Medicaid and the exchange, the author has outlined five key areas that need to be coordinated:

  • Eligibility and enrollment;
  • Renewals and transitions;
  • Information systems;
  • Consumer communications; and
  • Challenges associated with aligning the plans, networks, and benefits offered.

This report is the second in a series of five reports focused on New York’s health insurance exchanges. The first report examined the initial set of governance and strucure issues for states in designing their exchanges.