Coverage enrollment software for CBOsKeep people covered — even when Navigator funding isn't.
Enrollment assisters guide families through Medicaid, CHIP and Marketplace applications and renewals. CH360 keeps every household's history, partner handoff and grant deliverable in one place — and helps you find the funding to keep doors open.
25M+
People disenrolled from Medicaid during the unwinding (not all became uninsured)
Source: KFF, 2024[1]
Why this work matters
The case for coverage enrollment, in numbers.
Coverage enrollment organizations turn complicated eligibility rules and applications into practical access to health care and financial protection. Their work also helps people keep coverage through renewals and transitions, when paperwork alone can interrupt care.
25M+
People disenrolled from Medicaid during the unwinding (not all became uninsured)
KFF, 2024[1]
- 35%
Marketplace enrollees who found it difficult to find a plan that meets their needs
KFF, Survey of Consumer Experiences with Health Insurance, 2023[2]
- 40%
Assisted enrollees who believed they would not have found coverage without help
KFF, Consumer Assistance in Health Insurance, 2020[3]
What coverage enrollment organizations do
The services your team delivers every day.
Medicaid and CHIP enrollment
Help individuals and families understand coverage options, complete applications and respond to requests for eligibility documentation.
Marketplace enrollment assistance
Provide impartial guidance on Marketplace applications, financial assistance, plan comparisons and enrollment.
Renewal and coverage retention
Help clients complete renewals, update household information and resolve problems that threaten continued coverage.
Coverage transitions
Assist people losing Medicaid or other insurance with finding alternative coverage and navigating enrollment periods.
Public benefits enrollment
Connect eligible households with food, income, prescription assistance and other public benefits.
Coverage troubleshooting and education
Explain insurance terminology, help resolve enrollment discrepancies and connect clients with appeals or consumer-assistance resources.
Market research
The top 5 business issues coverage enrollment organizations face.
Drawn from government agencies, national surveys and policy research. Every figure links to its source.
Navigator funding cliffs
Grant-dependent enrollment organizations must plan staffing and outreach around funding decisions that can change sharply. In 2025 the federal Navigator program announced a cut from $100 million to $10 million for the next plan year.
Coverage-loss recovery workload
Disenrollment creates labor-intensive work to investigate notices, decide next steps and help clients reconnect with coverage. The unwinding surge showed how fast that workload can arrive.
25M+
Medicaid disenrollments reported during the unwinding by September 2024
KFF, 2024 (opens in a new tab)Renewal workload alongside new enrollment
Organizations must balance new applications with helping existing clients keep coverage through renewals. The national renewal volume shows the scale of the administrative environment assisters work in.
Complex counseling and plan comparisons
Meaningful assistance means explaining trade-offs among coverage options, not just completing forms. Consumer difficulty finding suitable plans points to the counseling time each appointment really takes.
35%
Marketplace enrollees reporting difficulty finding a plan that meets their needs
KFF, 2023 (opens in a new tab)Unmet demand for personal assistance
Programs must decide how to allocate limited appointment capacity among people who need hands-on support. Millions who seek help never get it.
~5M
Consumers (12%) who tried to get coverage help but did not receive it
KFF, Consumer Assistance in Health Insurance, 2020 (opens in a new tab)
Technology challenges
Where technology fails coverage enrollment teams — and how CH360 fixes it.
Challenge 1
Fragmented client histories and partner handoffs
Enrollment assistance can involve multiple organizations and repeated requests for the same background information. Without a shared record, staff struggle to tell a completed referral from an unresolved application problem.
How CH360 helps
CH360 Care Hubs bring shared intake, referrals and closed-loop referral tracking across partner CBOs into one workflow. Service plans and engagement notes preserve each household's context from appointment to appointment.
Challenge 2
Scattered grant and reporting records
Awards, spending, service documentation and renewal narratives often live in separate tools. That makes it hard to show how limited funding supports enrollment assistance and to submit consistent funder reports.
How CH360 helps
Manage awards, budget versus actuals, deliverables and renewals in CH360 grant management. AI-assisted funder reports draft submissions for review, and the free AI Grant Agent and Funding AI tools help replace lost Navigator dollars.
Challenge 3
Limited visibility into demand and staff capacity
Enrollment and renewal demand shifts faster than spreadsheet views can keep up. Leaders need a practical view of demand, workforce and capacity while protecting sensitive client information.
How CH360 helps
Executive Intelligence dashboards bring demand, workforce and capacity into one view for planning. CH360's HIPAA-compliant platform with role-based access keeps client records controlled, working alongside state Medicaid and Marketplace portals.
One platform
Get funded. Get paid. Keep serving.
- Care HubsShared intake and closed-loop referrals across partner CBOs.Learn more
- BillingHRSN invoices and claims through Office Ally's 2,000+ payers.Learn more
- Executive IntelligenceDemand, workforce and capacity in one leadership view.Learn more
- Free funding toolsAI Grant Agent, Funding AI and Medicaid AI — free.Learn more
Sources
Figures come from the third-party research cited below and describe the sector, not CH360 customer results. Some figures are national nonprofit or adjacent-sector benchmarks. Payers decide coverage and payment; your team reviews every claim before it is submitted.
- [1] KFF (2024)
- [2] KFF, Survey of Consumer Experiences with Health Insurance (2023)
- [3] KFF, Consumer Assistance in Health Insurance (2020)
- [4] KFF (2025)
See CH360 built for coverage enrollment.
A walkthrough shaped around your programs, payers and state.