CHCF Gives Testimony to Performance Review Commission on Transforming Eligibility Process for Public Programs
Technology solution alone not sufficient: California must simplify and streamline eligibility rules and requirements
Who: Sam Karp, director of Health Information Technology, California HealthCare Foundation (CHCF)
What: Expert Testimony to California Performance Review Commission (CPR) on recommendation to transform eligibility processing
When: August 20, 2004; 10:00 a.m. to 4:00 p.m.
Where: Price Center, Ballroom AB, UC San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0076
Karp’s testimony concurs with CPR findings that current systems for enrolling in California’s public benefit programs are inefficient, outdated, and are often a barrier to access. Through investments in developing Internet-based systems and partnerships with the state of California and local communities to implement them, CHCF has been working to modernize enrollment in public health insurance programs in California. Karp will make these points:
- California needs to better align its commitment to “eligibility” with the reality of how complex and difficult the enrollment process is to access, maneuver and administer.
- Cost-savings can be made through improvements in business processes rather than benefit reductions, caps on enrollment, or further reductions in already low provider reimbursements.
- The Internet and other technologies should be used to make program enrollment more efficient and publicly accessible.
- How the system should be fixed and who should operate it are open for debate; the need to fix it is indisputable.
Karp will offer comments on specific CPR recommendations and will briefly discuss online enrollment systems developed with CHCF funding that enable eligible individuals and families — who are not enrolled — to more easily access the benefits they are entitled to receive.
Building on the success of Health-e-App, California’s online enrollment system for the Healthy Families and Medi-Cal for children programs, CHCF is working with several counties to create a true single point of entry for enrollment in a range of local and state administered health and social service programs—no matter where in a community a family applies for assistance.
Called “One-e-App,” the new system will eventually offer one-stop screening and enrollment, in more than a dozen different programs, including Medi-Cal, Healthy Families, CHDP, WIC, Food Stamps, local Healthy Kids programs, and adult indigent care.
About the California Health Care Foundation
The California Health Care Foundation is dedicated to advancing meaningful, measurable improvements in the way the health care delivery system provides care to the people of California, particularly those with low incomes and those whose needs are not well served by the status quo. We work to ensure that people have access to the care they need, when they need it, at a price they can afford.