The state-based Nevada public health insurance exchange ended up spending about five times more than it expected for each exchange plan enrollee brought in through an “exchange enrollment facilitator.”
The Silver State Health Insurance Exchange, the body that runs the Nevada Health Link exchange, use the term enrollment facilitator to refer to several types of state-funded exchange helpers, including navigators, enrollment assisters and certified application counselors.
Exchange managers had hoped to spend $42 per enrollee brought in through a facilitator.
The actual average cost was $199 per facilitator-generated enrollee.
One of the six funded facilitator organizations, Inter-Tribal Council of Nevada, bowed out of the program. It received no funding and produced no enrollees.
At the other five organizations, per-enrollee state funding ranged from $87.52 at CARE up to $1,079.65 at the Latin Chamber of Commerce.
Exchange staff members included the facilitator funding data in a board meeting packet.
"Although the total enrollment figures look low, difficulties with Nevada Health Link's Web portal have been a major factor in the lack of enrollments by grantees," the staff members write in the report on the facilitators' performance.
The staff members recommended that the exchange board use the three top performing facilitator organizations – CARE, Ramirez Group and Nevada Primary Care Association – during the 2015 exchange open enrollment season.
The actual cost per exchange plan enrollment has been $172 at Nevada Primary Care and $241 at Ramirez Group.