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Pennsylvania Health Insurance Exchange Authority
Advisory Council MeetingJune 24, 2020
Meeting Agenda
1. Preliminary Matters
2. Exchange Authority Milestone Review
3. Advisory Council Governance
4. Communications & Outreach Overview
5. Adjourn
Exchange Authority | 2
Pennsylvania Health Insurance Exchange Authority
Preliminary Matters
3
Meeting Agenda
1. Preliminary Matters
2. Exchange Authority Milestone Review
3. Advisory Council Governance
4. Communications & Outreach Overview
5. Adjourn
Exchange Authority | 4
Pennsylvania Health Insurance Exchange Authority
Exchange Authority Milestone Review
5
Exchange Authority Milestone Review
Exchange Authority | 6
Build the Agency
▪ First wave of hiring completed
▪ Organization now includes 19 full-time employees
▪ Recruitment currently underway:
▪ Communications Associate, Designer, Outreach Associate, Legal Associate, Data Manager,
Reconciliation Specialist
Ready the Core System
▪ UAT testing for the “June or 20.6” release is underway and close to completion
▪ Initial Release to Production (20.6 Maintenance and Back Office Functions) has been tested, and
passed exit criteria
▪ The “June or 20.6” release will be deployed on 6/25/2020
▪ UAT testing for the “September or 20.9” release to begin shortly
▪ This release includes substantial content surrounding applications, notices and key features of the
SBE’s technological platform
Contact Center
▪ Training of call center representatives is underway
▪ 1st CSR Training Class has begun with a combination of LMS courses, live webinars, and hands-on
training environment scenarios
▪ The first training class will run through 6/26
▪ The second training class will begin 6/29 and run through 7/24 and will include mostly Pennsylvania
residents
▪ Decision made to transition to a virtual call center
▪ Due to COVID-19, GetInsured will operate a virtual call center for this upcoming OEP and throughout
2021
▪ The Exchange is closely monitoring the vendor with this transition and ensuring that the hiring of call
center representatives, securing of VPNs and securing of other technology all occurs smoothly
Exchange Authority Milestone Review
Exchange Authority | 7
Internal Stakeholders
▪ Communications plan ready to be shared shortly
▪ Broker Workgroup
▪ Meets monthly to discuss certification, registration, timeline, and address feedback from web portal
▪ Outreach and Education Workgroup
▪ Monthly meetings to update on agency build, timeline, and marketing/outreach efforts
▪ This group engaged in proposal feedback on policy decisions and notice content
Ready the Market
▪ Selected a name for the organization: Pennie or “Pennsylvania Insurance Exchange”
▪ Descriptor Line: Connecting Pennsylvanians to health coverage
▪ Worked with Bravo Group to design the brand to be friendly, approachable, knowledgeable, and helpful
▪ Brand guide was finalized
▪ Delivered from Bravo to establish color scheme, font, writing style, tone, voice
▪ Public brand launch will be mid-September
Exchange Authority Milestone Review
Exchange Authority | 8
Ready the Market continued…
▪ Website development is underway
▪ A number of domains were purchased which all direct to Pennie.com
▪ The Exchange is currently working to guide the design and development of the website
▪ Launch goal of August 24th
Collaborate with Carriers
▪ Various working group phone calls are occurring either on a weekly, biweekly, or monthly basis
▪ Share information with insurers on topics such as policy decisions and technology testing needs
▪ Connectivity testing is currently underway
▪ On track to be completed by early September
Meet Federal Requirements
▪ Creation of security polices and documentation underway
▪ Exchange team is working very closely with CMS
▪ ATC to the data services hub has not yet occurred, but is on track for completion by early July
Exchange Authority Milestone Review
Exchange Authority | 9
Meeting Agenda
1. Preliminary Matters
2. Exchange Authority Milestone Review
3. Advisory Council Governance
4. Communications & Outreach Overview
5. Adjourn
Exchange Authority | 10
Pennsylvania Health Insurance Exchange Authority
Advisory Council Governance
11
▪ Updated 2020 Meeting Schedule
▪ Next meeting – September 23rd at 2pm
▪ Chairperson Nominations
▪ Election of Chairperson
Advisory Council Governance
Exchange Authority | 12
Meeting Agenda
1. Preliminary Matters
2. Exchange Authority Milestone Review
3. Advisory Council Governance
4. Communications & Outreach Overview
5. Adjourn
Exchange Authority | 13
Pennsylvania Health Insurance Exchange Authority
Communications & Outreach Overview
14
Exchange Authority’s Goals
1. Ensure a seamless transition
2. Improve access and customer service
3. Lower costs and lower premiums
Communications & Outreach Secondary Goals
1. Increase access to high-quality medical and dental coverage, reduce the uninsured rate
2. Improve the health insurance purchasing process, make sure customers are buying the plan
best for them
3. Educate Pennsylvanians on the financial assistance and other resources available to them
4. Build rapport with a diverse group of stakeholder to create and activate brand ambassadors
Communications & Outreach Overview
Overarching Goals
Exchange Authority | 15
Target Audiences
Exchange Authority | 16
Current Customers
Transitioning from HealthCare.gov
Potential Customers in
Individual Market
Uninsured
Customers Eligible for Financial Assistance
(premium tax credits and cost sharing reductions)
Target Subsets:
Spanish Speaking
Workers in Transition
Young Invincibles
Prioritizing the uninsuredFive counties (Chester, Delaware, Lancaster, Montgomery and Philadelphia) in the southeast make up 36.6% of the uninsured
Exchange Authority | 17
Notes: Uninsured has been adjusted to exclude uninsured undocumented immigrants (likely ineligible for ACA coverage) and uninsured individuals
who indicate Pennsylvania German ancestry. Civilian noninstitutionalized population.
Source: SHADAC analysis of the United States Census Bureau's American Community Survey (ACS).
DATA
WAY2,433
WYO1,065
LAC7,958
ELK814
VEN2,909
FOR94 CAME
114PIK
2,549LYC5,372
SUL409
MER5,827 CLI
2,437CLA2,593
LUZ12,778
JEF2,648
COL2,273
CEN6,767
CLE3,528
MONROE9,062
NORTHUMBERLAND3,996
BUT5,623
ARM2,667
MONTOUR749UNI
3,457CAR2,381
LAW3,810
NORTHAMPTON11,655SCH
6,219IND6,071
SNY3,871BEA
6,327MIF4,458
LEH16,924
BLA5,373
HUN1,795
CAMB4,991
JUN1,989 BER
19,483
WES11,221
ALL43,514
DAU12,106PER
3,334
BUC18,851LEB
10,296
WAS6,992
MONTG21,022
BED2,932
CUM10,993 LAN
52,785
FRA12,027
SOM4,305
CHE20,651
YOR19,802FUL
858
FAY5,860
PHI104,860
ADA4,569
DEL22,836
GRE1,568
ERI12,149
BRA3,442TIO
2,682
WAR1,744
SUS2,451MCK
1,592 POT1,023CRA
6,693
<5k
5-10k
10-20k
20-50k
>50k
Legend
PY2021
Critical Milestones
Exchange Authority | 18
JANDECNOVOCTSEPAUGJULJUN
OEP
Begins! Call Center
Operational
Exchange
Assisters and
Broker Training
Website Launch
Customers are
Auto-Renewed
2021
Coverage
Begins
Awareness Campaign
(September 15 – October 31)
▪ Public roll-out of Pennie brand
▪ Launch of advertising to increase familiarity
with organization and services offered
▪ Earned media push begins
▪ Grassroots outreach efforts and education
begins
Call-to-Action Campaign
(November 1 – January 15, 2021)
▪ Message shifts across channels, focus on
shopping and enrollment
▪ Increased effort during OEP milestones
▪ Behavioral-based microtargeting across all
platforms
▪ Direct communication whenever possible
Plan Year 2021 and Special Enrollment Period
(January 16 – November 1, 2021 )
▪ Support and retain current enrollees
▪ Assist those eligible for an Special
Enrollment Period
▪ Advertising to focus on importance of
coverage and Qualifying Life Events
Brand Guide
Delivered
Public Brand
Launch
Start
coverage
1/1/21
Start
coverage
2/1/21
Earned Media
▪ Press releases, Interviews, press events, online reviews
▪ Word of mouth efforts, social shares
Paid Media
▪ Television, Radio, Out of Home/Transit, Print, Sponsorships
▪ Social Media advertisements, Search Engine Optimization,
influencer marketing
Owned Media
▪ Website, Social pages, Pennie Podcast, portal content
▪ Collateral materials
Brand Ambassadors (internal & external)
▪ Open Enrollment Toolkit Kit
Education and Enrollment Events
▪ Exchange Assister enrollment events and fairs
▪ Educational outreach events held in conjunction with outreach
partners
Direct Communications
▪ Emails, Newsletters, Text Messages
potential: direct mail, auto-dials
▪ System generated notices
Federal
▪ Mid October – First notice to customers informing them
of the transition to state-based exchange
State
▪ Mid October – Post-CMS launch email and postal mail to
customers welcoming them to Pennie
▪ Late October – Written and electronic notices sent
depending on preference selected on HealthCare.gov -
Invitation for current customers to enroll in Pennie;
autorenewal notice, corresponding eligibility notice
Tactics
Exchange Authority | 19
Outreach Priorities
▪ Public libraries
▪ Non-profit, community-based organization
▪ Municipalities and public officials
▪ Faith-based organizations
▪ Cultural organizations
▪ Small business owners
▪ State agency partners
Planning in a Precarious Environment
▪ With and without Covid-19 Restrictions
▪ Researching the most effective digital
platforms for outreach
Stakeholder Engagement
Exchange Authority | 20
Pennsylvania Health Insurance Exchange Authority
Feedback & Discussion
21
Now that you have seen the plans, what are the
strengths & weaknesses?
Pennsylvania Health Insurance Exchange Authority
Adjourn
22