Key Informant Interviews on Early Medicaid Expansion Experience

Dates: 2012

State: Colorado

Client(s): Colorado Coalition for the Medically Underserved

Service: Applied Research & Evaluation

Technical Expertise: Health Care Reform, Primary Care

On April 1, 2012 the State of Colorado expanded Medicaid to include adults without dependent children (AwDC) with incomes at or below 10% of the Federal Poverty Level (FPL). Colorado’s AwDC expansion provides a valuable opportunity to understand successes and barriers impacting Medicaid expansions to new populations. The Colorado Coalition for the Medically Underserved (CCMU), along with its partner organizations, was interested in capturing these early lessons and contracted with JSI to conduct interviews with key individuals involved in the expansion. The early lessons learned identified in this project will inform the work of organizations in Colorado as the state prepares for the Medicaid expansions in January 2014 under the Affordable Care Act.

The JSI team conducted interviews with key informants from twelve organizations including Certified Application Assistance Sites (CAAS), Medical Assistance (MA) sites, county departments, primary care and behavioral health providers, Regional Care Coordination Organizations (RCCOs) for the Colorado Accountable Care Collaborative (ACC), and the Department of Health Care Policy and Financing (HCPF). Interviews topics covered experiences, best practices and challenges related to outreach and enrollment strategies, application and eligibility processes, care linkage and utilization, and ongoing monitoring and evaluation. JSI prepared a report that highlights the findings of this process, and proposed indicators for inclusion in a high-level balanced scorecard (dashboard of indicators) for ongoing quantitative evaluation of the expansion.


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