Building a Consumer-Driven Eligibility, Enrollment, and Renewal System: Essential Design Features for Effective Health Reform

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This brief provides the strategies and technological infrastructure required to achieve the following essential design features of an eligibility, enrollment, and renewal system, as viewed through the lens of the consumer:

  • Smart connections through multiple doorways and accessible consumer assistance.
  • Integrated eligibility criteria and processes across programs.
  • Real-time, immediate, and ongoing enrollment.
  • Easy navigation of coverage.