Harnessing Technology to Streamline Enrollment: Experiences from Eight Maximizing Enrollment Grantee States
Since 2009, eight states participating in the Robert Wood Johnson Foundation’s Maximizing Enrollment program have worked to streamline eligibility and enrollment systems for children and those eligible for coverage in 2014. These states’ use of technology to support application and renewal simplifications, customer interfaces, system functioning, and workflow management have paved the way for many ACA provisions. This Maximizing Enrollment report—the first in a series of final reports from the program—shares findings and lessons learned from the state grantees’ experiences of adopting and piloting inventive technology strategies that may inform other states’ implementation of ACA and future eligibility and enrollment improvements.
Co-Author: Katie Baudouin, Policy Specialist
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
