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HandWiki. Patient Navigators. Encyclopedia. Available online: https://encyclopedia.pub/entry/30204 (accessed on 25 September 2026).
HandWiki. Patient Navigators. Encyclopedia. Available at: https://encyclopedia.pub/entry/30204. Accessed September 25, 2026.
HandWiki. "Patient Navigators" Encyclopedia, https://encyclopedia.pub/entry/30204 (accessed September 25, 2026).
HandWiki. (2022, October 19). Patient Navigators. In Encyclopedia. https://encyclopedia.pub/entry/30204
HandWiki. "Patient Navigators." Encyclopedia. Web. 19 October, 2022.
Patient Navigators
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The content is sourced from: https://handwiki.org/wiki/Medicine:Patient_navigators

Patient navigators educate and assist United States citizens in enrolling into health benefit plans stipulated in the Patient Protection and Affordable Care Act (ACA). Patient navigators are also called "insurance navigators" or "in-person assisters" who have defined roles under the ACA. Although their roles might overlap, patient navigators are not community health workers or health advocates. "Navigators" work in states with Federally-Facilitated Exchanges (FFEs) or State Partnership Exchanges. Under the ACA, a health insurance marketplace, or exchange, is required to develop and fund a patient navigator program. The patient navigator's primary role, as defined in section 1311, is to educate the public on information about health care plans, to facilitate enrollment into health plans, and provide information for tax credits and cost-sharing reductions. The education and information provided by patient navigators must be culturally and linguistically appropriate and provided in a fair and impartial manner. Patient navigators are required to meet standards and core proficiencies established by the Secretary of Health and Human Services.

health insurance community health workers health care

References

  1. Kirchhoff, S. M. (2013, September 25). Health insurance exchanges: Health insurance "navigators" and in-person assistance (Congressional Report No. R43243). Washington DC: Library of Congress Congressional Research Service. Retrieved from [1]
  2. Centers for Medicare and Medicaid Services. (2014, January). Assistance roles to help consumers apply & enroll in health coverage through the marketplace. Retrieved from http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Downloads/marketplace-ways-to-help.pdf.
  3. Office of the Federal Register. (2012, July 17). Patient Protection and Affordable Care Act; Exchange functions: Standards for navigators and non-navigator assistance programs; Consumer assistance tools and programs of an exchange and certified application counselors, 78 Fed. Reg. 42823 (to be codified at 45 C.F.R. pt. 155). Retrieved from https://www.federalregister.gov/articles/2013/07/17/2013-17125/patient-protection-and-affordable-care-act-exchange-functions-standards-for-navigators-and#h-44
  4. Centers for Medicare and Medicaid Services. (2013). Navigators and other marketplace assistance programs. [Presentation slides]. Retrieved from http://www.cms.gov/CCIIO/Resources/Training-Resources/Downloads/navigators-and-assistance.pdf.
  5. Department of Human Health and Services. (2013). Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors, p. 42823 -42862.
  6. Media, Blue Dock. "Health Home Description Buffalo NY" (in en-GB). https://www.gbuahn.org/members/about-us/health-homes. 
  7. Media, Blue Dock. "Health Home GBUAHN Buffalo NY" (in en-GB). https://www.gbuahn.org/members/about-us/about-gbuahn. 
  8. "NCQA Report Cards". https://reportcards.ncqa.org/#/other-health-care-organization/Other_001G000001r1OyfIAE. 
  9. Centers for Medicare and Medicaid Services. (2013). PPHF – 2013 - Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges. Center for Consumer Information and Insurance Oversight. Retrieved from http://www.cms.gov/CCIIO/Resources/Funding-Opportunities/Downloads/2013-navigator-foa-4-9-2013.pdf
  10. Department of Human Health and Services. (2013, August 15). New resources available to help consumers navigate the health insurance marketplace. Retrieved from https://www.hhs.gov/news/press/2013pres/08/20130815a.html.
  11. Goodnough, A., (2013, August 15). $67 Million Awarded to Groups Helping With Health Law. The New York Times. Retrieved from https://www.nytimes.com/2013/08/16/us/politics/67-million-awarded-to-groups-helping-with-health-law.html?_r=0.
  12. Ollove, Michael. (2013, September 9). Health Insurance Navigators Draw State Scrutiny. Stateline of Pew Chartiable Trust. Retrieved from http://www.pewstates.org/projects/stateline/headlines/health-insurance-navigators-draw-state-scrutiny-85899503315.
  13. Giovannelli J, Lucia K, and Dash S. (2013, October 31). Under Pressure: An Update on Restrictive State Insurance Marketplace Consumer Assistance Laws. Commonwealth Fund. [Blog]. Retrieved from http://www.commonwealthfund.org/Blog/2013/Oct/Under-Pressure.aspx.
  14. Feibel, Carrie. (2014, January 23). Texas Issues Tough Rules For Insurance Navigators. Shots Health News from NPR. [Blog]. Retrieved from https://www.npr.org/blogs/health/2014/01/23/265272504/texas-issues-tough-rules-for-insurance-navigators.
  15. Aaronson, Becca. (2014, January 22). Texas Imposes New Rules On Health Insurance Navigators. Kaiser Health News in partnership with the Texas Tribune. Retrieved from http://www.kaiserhealthnews.org/Stories/2014/January/22/Texas-Finalizes-Rules-for-Health-Care-Navigators.aspx.
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