Report from the first year of Navigator technical assistance project : lessons learned and recommendations for the next year of enrollment Volk, JoAnn, author. Corlette, Sabrina, author. Ahn, Sandy, author. Brooks, Tricia, author. United States. Health Care Reform -- legislation & jurisprudence Health Care Reform -- trends Health Insurance Exchanges -- legislation & jurisprudence Health Insurance Exchanges -- trends Patient Navigation -- legislation & jurisprudence Patient Navigation -- trends During the first year of enrollment, Georgetown policy experts supported assisters in four FFM states (Arizona, Florida, Georgia and Ohio) and one FPM state (Arkansas), providing technical assistance for the more complex cases and questions among the many answered by assisters. This brief draws on some of those questions to illustrate the complex nature of the eligibility and enrollment process for many individuals and families. The questions presented in this brief are just a subset of the most challenging questions assisters sent to Georgetown for technical help. Although the assister programs were organized differently across the five states and had different levels of financial support, we observed that the same types of questions came up often and across the five states, suggesting that assisters nationwide were grappling with many of the same issues. Georgetown worked primarily with certified Navigators and application counselors in FQHCs. However, there were many others providing enrollment assistance to consumers, including insurance agents and brokers, tax preparers, Medicaid agencies, providers, and many others who volunteered in their communities. Our work did not capture the experiences of these assisters. Nonetheless, the questions presented in this brief illustrate the diverse and complicated situations that assisters faced when helping consumers, and they highlight the critical need for a sustained investment in personalized assistance to help ensure people obtain the right coverage at the right cost. Answers to the below questions are provided in Appendix A. Washington, DC : Center for Health Insurance Reforms, Georgetown University Health Policy Institute, October 2014 Georgetown University. Center for Children and Families issuing body. Georgetown University. Health Policy Institute. Center on Health Insurance Reforms, issuing body. Robert Wood Johnson Foundation, issuing body. Urban Institute, issuing body. Technical Report Text 1 online resource (1 PDF file (19 pages)) nlm:nlmuid-101665532-pdf 101665532 http://resource.nlm.nih.gov/101665532 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. https://creativecommons.org/licenses/by-nc-nd/3.0