In April 2011, the New York City Human Resources Administration released Healthcare Reform at the Local Level: Framework for a Navigator Program in New York City.
Health care reform is ushering in significant changes that will likely affect how most uninsured residents, publicly insured individuals, and many small businesses access health insurance.
Navigator Programs, which federal reform requires each Exchange to establish, will administer grants to eligible entities to provide culturally and linguistically appropriate education and enrollment assistance to residents and small businesses eligible for coverage in the Exchange.
Home to a large and diverse population of more than 8 million people, New York City has made significant investments to assure that its residents and business owners understand and have ready access to their health insurance options. While health care reform has the potential to provide some benefits and new assistance for the uninsured, it is imperative that in the midst of these changes, current coverage gains are not lost.
This issue brief looks at how best to implement a Navigator Program in New York City, outlining the need for a discrete Navigator Program in NYC and providing a framework for delivering efficient and effective, data-driven and accountable navigator services to meet the needs of the City’s large and diverse population. In doing so, the brief highlights:
- Key City expertise and technology initiatives, such as HHS Connect, 311, ACCESS NYC, NYC Business Express, and NYC Health Insurance Link that should be leveraged by a locally administered Navigator Program to efficiently reach and serve residents and small businesses in the City.
- The importance of data and its ongoing use to identify populations to be targeted by navigators (grantees) and the best mechanisms and entities for reaching them.
- The imperatives for ongoing training and monitoring of grantees in the provision of education and enrollment assistance and use of referral tools to ensure a ‘no wrong door’ pathway for all residents who have coverage or care needs, including undocumented individuals and others left out of health care reform.
- The critical role that collaboratively developed and evolving outreach strategies play in responding to the changing needs of the uninsured over time.
The full report can be downloaded by clicking on the link below. You will need to have Adobe Acrobat Reader Version 5.1 or higher in order to open the document. For those who do not have Acrobat Reader, a link for Acrobat Reader Version 10.0.1 can also be downloaded from this page.