Understanding the Health Insurance Marketplace: A Tool Kit for Nursing Faculty
This tool kit was created for AACN faculty members to enhance their understanding of the Health Insurance Marketplace and what it means for nurse educators, students, and patients. The resources below were designed for faculty and student use. To suggest additional resources for this page, please contact Leeza Constantoulakis, AACN’s Government Affairs Assistant at LConstantoulakis@aacn.nche.edu.
The American Association of Colleges of Nursing (AACN) is a nonpartisan organization that serves to educate and advocate for sound policy that improves nursing education, research, and practice. AACN views federal advocacy as having an integral role in the ability to shape, advance, and promote a professional nursing workforce that meets America’s healthcare needs.
While AACN did not take an official position on the Patient Protection and Affordable Care Act [Public Law No: 111-148], the organization supported a number of provisions that improved nursing education, research, and practice. AACN’s leadership recognizes the responsibility to educate our constituents about the law and what the Marketplace means for clinical practice, faculty, students, and patients. To review these provisions, www.aacn.nche.edu/government-affairs/HCRsupport.pdf.
Open Enrollment: 2015
Open Enrollment for 2015 begins on November 15th and ends February 15th, 2015. Beginning in 2015, open enrollment periods will be 2 months long.
The 2015 open enrollment period will mirror that of the traditional health insurance market as much as possible. Therefore, consumers who take no action will be automatically reenrolled in their current plan. However, the Centers for Medicare & Medicaid Services is encouraging all consumers to log into their HealthCare.gov accounts starting November 15, 2014 to update their information for 2015 and compare plans. With many new issuers offering coverage on the Federally Facilitated Marketplace for the upcoming enrollment period, consumers may be able to find new plans which suit their specific needs better in some way. For more information on transitioning to 2015 coverage, click here.
Consumers receiving the Advanced Premium Tax Credit (APTC) should log into the system and update their information for 2015 during the open enrollment period. Those who do not take action will not be automatically dropped from the program, however. Consumers whose tax data indicates they are likely still eligible will be auto-enrolled in their same plan for 2015 with their APTC unchanged from 2014. Efforts will be made to reach out to those who did not allow access to their tax data in the system or whose tax data indicates there may be a change in eligibility to ensure updated information. For additional details, see: http://www.hhs.gov/news/press/2014pres/06/20140626a.html.
resources for faculty
Assisting Your Patients: Navigating the Health Insurance Marketplace
This slide deck was created for faculty and students to understand the basics of the Health Insurance Marketplace. It provides an overview of key questions nurses may be asked by their patients and how to direct them to the best resources.
Teaching Nursing Students About the Health Insurance Marketplace: Example Activities and Assignments
This slide deck offers faculty suggestions on assignments, discussion questions, and activities that could help nursing students better understand the Marketplace.
Implementation of the ACA: What Nurses Need to Know
As the nation works to implement the ACA, the current healthcare delivery system will undergo many complex changes. Mandy Cohen, MD, MPH, Senior Advisor to the Administrator of the Centers for Medicare and Medicaid Services (CMS), addresses the expansion of insurance coverage with the initial launch of the new Health Insurance Marketplace and answers questions on these timely topics. Ellen Marie Whelan, PhD, RN, FAAN, Senior Advisor for the Innovation Center at the Centers for Medicare & Medicaid Services, discusses the impact of the ACA on nursing practice and offers some guidance for nurses as to how best to prepare for the transition. To view the recording: Login to AACN’s Collaboration Community.
A Message from HRSA Administrator Wakefield on the Marketplace Enrollment
On February 24, 2014, HRSA Administration Mary Wakefield, PhD, RN, offered a message to the healthcare community on enrollment in the Marketplace.
Get Covered: A Special Message from the President
Interested in learning the Administration’s progress since the Health Insurance Marketplace? Listen to President Obama’s most recent address from February 21, 2014.
Kaiser Family Foundation Presents: The YouToons Get Ready for Obamacare: Health Insurance Changes Coming Your Way Under the Affordable Care Act
Watch this video to understand the basics on the Health Insurance Marketplace. Many faculty have used this video to spark online discussions with their students.
Where Can I Find Out More Information about the ACA?
Basic Information about the Affordable Care Act
- Affordable Care Act Engagement Guide: Ways You Can Help Amplify Open Enrollment (November 15-February 15)
- HHS.gov/HealthCare: How the Health Care Law Benefits You
- Kaiser Permanente: Understanding the Affordable Care Act
- U.S. Department of Health and Human Services The Partnership Center
- U.S. Department of Health and Humans Services: The Health Care Law and You
- Centers for Medicare & Medicaid Services: 10 Things Providers Need to Know
- Centers for Medicare & Medicaid Services: 10 Things to Tell Your Patients
- Centers for Medicare & Medicaid Services: Provider Tool Kit
Additional Information on Marketplace Enrollment
- Robert Wood Johnson Foundation: Health Insurance Enrollment
- Kaiser Family Foundation Flowchart of Health Coverage Under the ACA
- Centers for Medicare & Medicaid Services: Resources for Those New to the Marketplace
- Centers for Medicare & Medicaid Services: Resources for the Newly Insured
- Centers for Medicare & Medicaid Services: Information on Using and Changing Coverage
- Kaiser Family Foundation Frequently Asked Questions on Health Reform
Medscape - New Resources for Healthcare Providers
Note: Free Medscape Account Required
- Essential Health Benefits and the Marketplace: Information for Providers and Their Patients
- Talking with Patients about the Affordable Care Act: Protecting Access to Care for Serious Illness
- Helping Your Patients Navigate the Health Insurance Marketplace
- Talking With Patients About the Affordable Care Act: Preventive Services for the Family
- Talking with Patients about the Affordable Care Act -- Why Insurance Matters
- The Affordable Care Act, Your Patients, and You: Test Your Knowledge
Information for Special Populations
- For Students: What do I need to know about the Marketplace?
- For Recent Graduates
- For Yount Adults: HHS.gov: The Top Five Things You Need to Know About the Affordable Care Act
- Centers for Medicare & Medicaid Services: Resources for Special Populations
- HHS.gov: White House Briefing on Obamacare and the LGBT Community
- HHS.gov/HealthCare: State by State
- National Conference of State Legislators: State Actions to Address Health Insurance Exchanges
- PhRMA and Avalere Health Fact Sheets on State Exchanges
- Kaiser Family Foundation: Status of State Action on the Medicaid Expansion Decision
- Kaiser Family Foundation: Marketplace Enrollment as a Share of the Potential Marketplace Population
- Kaiser Family Foundation: State Level Data on the Health Insurance Marketplace
Strategic guidance and review of the Toolkit’s outline was provided by AACN’s inaugural class of Faculty Policy Intensive Fellows (2013-2014), including:
Patricia Brennan PhD, RN, MS, DPNAP
Samuel Merritt University
Melondie Carter, DSN, RN
University of Alabama
Mary Garnica, DNP, APNFNP-BC
Assistant Professor of Nursing
University of Central Arkansas
Joanne Noone, PhD, RN, CNE
Associate Professor, Associate Dean, Ashland Campus
Oregon Health & Science University
Camille Burnett, PhD, MPA, RN, APHN-BC, BScN, DSW
Assistant Professor and Roberts Scholar
Department of Family, Community and Mental Health Systems
University of Virginia School of Nursing
Lilia A. Fuentes, DNP, APRN, FNP-BC
Assistant Professor – Department of Nursing
Master of Science in Nursing Program Coordinator
The University of Texas – Pan American
Sharon Guthrie, PhD, ARNP, CPNP, NCSN, RN-BC
Mount Mercy University
Andrea Sonenberg, PhD, WHNP, CNM