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.