SAN MATEO, Calif., Oct. 1, 2013 /PRNewswire/ -- As enrollment for the Affordable Care Act begins today, health care providers in California are reaching out in two big ways. On the streets of South El Monte, Clinics Community Outreach Worker, Jacqueline Gallardo, with iPad in hand, educates and enrolls residents about new coverage options. At four busy San Diego hospital ERs, Gerilynn Sevenikar, Vice President of Hospital Revenue Cycle at Sharp HealthCare, makes sure those uninsured who are seeking treatment have the option to enroll in new coverage plans during their visit. Enrolling Californians at the point–of-care in hospitals and during community outreach efforts is how California providers are bringing more people into the system and helping their bottom lines.
The 90-second enrollment process is made possible by using the web-based screening, navigation, and enrollment software, PointCarePA, which not only incorporates Medicaid, guarantee issue private plans, and each state's ACA-Exchange options, but also takes into consideration additional state and federal programs, as well as facility charity care and grant programs. "As it's currently being set up, Americans visiting their state exchange website looking for insurance will only be introduced to each state's ACA-sponsored Platinum, Gold, Silver and Bronze coverage plans and screened for Medicaid," said Ankeny Minoux, COO of PointCare. "These uninsured individuals may be missing valuable opportunities for assistance from additional government-sponsored plans, local charity care programs, and possible COBRA or other guarantee issue private coverage. This is what PointCare offers."
PointCarePA organizes the fragmented health coverage system by providing real-time eligibility, coverage, and application information for several thousand U.S. health coverage programs. To date, more than 500,000 residents have been screened with the tool and given the ability to successfully navigate the complex health insurance system.