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Status Report Enrollment 12-16-13

EXECUTIVE SUMMARY CURRENT STATUS


We continue to be in a manual environment for enrollment. We have determined eligibility for more than half the individuals who met the Dec 4th deadline and are working the remainder 24x7. All individuals who are determined eligible for a commercial plan have been contacted by phone and email (where we have that available) to assist them in completing the final steps of the enrollment process. We are also making real-time outbound calls daily as new individuals are determined eligible.

OVER 110,000 OREGONIANS WHO WILL HAVE HEALTH COVERAGE JANUARY 1


This number includes fast track enrollments in Oregon Health Plan as well as Cover Oregon enrollments in private insurance and Oregon Health Plan.

COVER OREGON ENROLLMENTS


Measure
People with opportunity to complete enrollment for coverage Jan 1st

Actual
65,000 70,000*

Eligibility verified, determinations made and applications moved to enrollment

40,000*

Total Enrollments OHP Private Insurance

20,874 13,374 7,500*

*This is an estimate based on experience to date number of completed applications times average of 1.7 people per application.

ACTIONS TAKEN LAST WEEK


Worked with plan partners to obtain a deadline extension to Dec. 27 that will more time to process applicated completed by Dec. 4 for coverage January 1st Implemented several fixes to the IT system that support faster access to information and enhance the effectiveness of the manual processes Made outbound calls, and sent e-mails where addresses were available, within 24 hours of eligibility determination, to all individuals who have been determined eligible for private insurance. Added 30 staff to call center to increase capacity and reduce waiting times. Assembled team to begin streamlining paper application to eliminate any non-critical data entry requirments and enable smoother paper process in the next cycle New temporary program for high risk pool to ensure they dont lose coverage