title: Building the Coverage Continuum: The Role of State Medicaid Directors and Insurance Commissioners.
abstract: Issue: The Affordable Care Act has expanded coverage to 20 million newly insured individuals, split between state Medicaid programs and commercially insured marketplaces, with limited integration between the two. The seamless continuum of coverage envisioned by the law is central to achieving the full potential of the Affordable Care Act, but it remains an elusive promise. Goals: To examine the historical and cultural differences between state Medicaid agencies and insurance departments that contribute to this lack of coordination. Findings and Conclusions: Historical and cultural differences must be overcome to ensure continuing access to coverage and care. The authors present two opportunities for insurance and Medicaid officials to work together
  to advance the continuum of coverage: alignment of regulations for insurers participating in both markets and collaboration on efforts to reform the health care delivery system.
authors.affiliation: Manatt Health, USA. jario@manatt.com
authors.forename: Joel
authors.initials: J
authors.lastname: Ario
authors.affiliation: Manatt Health, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Bachrach
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D004608:Eligibility Determination; D018166:Health Care Reform / Q000458:organization & administration*; D019981:Health Care Sector; D062265:Health Insurance Exchanges / Q000458:organization & administration*; D006801:Humans; D019458:Insurance Coverage / Q000458:organization & administration*; D007348:Insurance, Health / Q000458:organization & administration; D007349:Insurance, Health, Reimbursement; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration*; D017149:Private Sector; D017150:Public Sector; D013219:State Government; D014481:United States