Health Care Reform
Millions of Americans are Uninsured or Underinsured
Families across the United States go without access to health care every day. The cornerstone of health reform is to increase access to affordable health care for every American. But health care reform efforts must also contain costs and improve quality.
MAXIMUS is an independent partner with no ties to health care providers or insurance companies.
Helping Families Find the Right Health Care
Health outcomes are improved when individuals make their own choices. Implementing health reform requires extraordinary efforts to help families without insurance sort through complex options, enabling them to make the best choice.
MAXIMUS helps government improve effectiveness and efficiency by connecting families with the health plan that best meets their needs.
Reducing Health Disparities
Effective health care reform must reach families and individuals who don't have health insurance. Information about coverage options must be clearly communicated, whether in plain English or in the consumer’s native language. Individuals with low literacy rates and people whose primary language is not English experience better health outcomes when they understand health-related materials.
The MAXIMUS Center for Health Literacy communicates health options in an easy-to-understand manner and in over 120 languages, improving choice rates and helping people make the best decision for their health care needs.
Ensuring an Independent Evidence-Based Health Appeals Process
If consumers, providers, or insurers disagree on insurance coverage for a specific health service, the dispute should be resolved quickly through a cost effective, independent evidence-based appeals process. An impartial, evidence-based appeal process protects patients' rights and health without exposing the health systems to unnecessary utilization or costly lawsuits.
MAXIMUS has made over 750,000 independent appeal decisions for Medicare, Medicaid, state insurance programs, the Federal Employee Health Benefits Program (FEHBP), and employer plans such as ERISA.