Lessons Learned from Year One and What to Look Forward To in Year Two

Transcription

1 Lessons Learned from Year One and What to Look Forward To in Year Two Maura Shiffman, MPH Health Council of South Florida Melanie Hall Family Healthcare Foundation

2 The Family Healthcare Foundation served as the lead agency for the Tampa Bay area under the USF Navigator grant Also received private funding to lead a coordinated community wide effort called Covering Tampa Bay

3

4 Technical Issues Varying political climate Misinformation or lack of accurate information Evolving processes Racial and Ethnic disparities Limited resources

5

6 Top 3 barriers that consumers encountered while applying Confusion with the Application Computer Literacy Medicaid Gap

7

8 Survey was disseminated electronically to organizations working on ACA efforts the state of Florida 88 questions Organizational Structure Outreach Processes Collaboration with other stakeholders Enroll America partnership specific questions

9 84% conducted outreach efforts to raise awareness of the ACA and the Marketplace. Top Outreach Tactics 1. Enrollment Events 2. Partnerships 3. Earned Media 78% of organizations surveyed stated they enrolled over 400 consumers in the Marketplace

10 63% of organizations had less than 10 staff dedicated to outreach 74% of organizations had < 10 volunteers dedicated to outreach

11 Top 5 Resources that Helped Consumers Complete Enrollment 1. How to Connect with an In-Person Assister 2. Information on how Health Insurance Works 3. Personalized Premium Estimator 4. Information on Provider Networks and Benefits 5. Information on How to Answer Application Questions

12 Top 3 factors that lead to a successful enrollment Assisters Financial Help Monthly Cost

13

14 78% of organizations surveyed believe the media DID NOT appropriately cover tax credit information 59% of organizations surveyed believe the media DID NOT appropriately cover information on the individual mandate/fine information. However, informing consumers about the availability of financial assistance was the single most effective way to motivate uninsured consumers. 79% of organizations surveyed believe the media DID appropriately cover the March 31 st deadline

15

16 983,775 number of enrollees in the Health Insurance Marketplace in Florida at the end of March 2014

17 89% (Nearly 9 out of 10) of Floridians that enrolled in a Marketplace plan received financial assistance.

18 Young adults, African Americans and Latinos remain the groups with the largest percentages of uninsured. However, great strides were made during the first Open Enrollment period within all three of these demographics.

19 Uninsured rate for year olds decreased from % in the first Open Enrollment period.

20 According to a Commonwealth Fund survey: People are happy with their coverage under the Affordable Care Act! 73% who bought plans via the Marketplaces and 87% who signed up for Medicaid said they were somewhat or very satisfied with their plans. 77% who had insurance before said they were happy with their coverage

21 Publications on Resources Publications for providers Posters Materials available in English and Spanish

22

23 Navigators are funded by the Center for Medicare and Medicaid Services through Cooperative Agreements Three Navigator agencies in Florida are: The University of South Florida The Epilepsy Foundation The Board of County Commissioners of Pinellas County

24 An individual (affiliated with a designated organization) who is trained and able to help consumers, small businesses, and their employees as they look for health coverage options through the Marketplace, including helping them complete eligibility and enrollment forms. Their services are free to consumers.

25 Special Enrollment Periods (SEP) are available when consumers face certain circumstances during the year. SEPs are also available for: Exceptional Circumstance Misinformation/Misrepresentation Unsolved Casework Medicaid/Marketplace transfers Errors Note: Consumers must enroll by the 15 th of the month for coverage to begin by the 1 st of the following month.

26 Consumers will be required to log into their accounts and update their information May keep their same plan and will be able to see any changes in the premiums May choose a new plan without having to complete a new application Insurance companies will send consumers information this Fall about updated premiums and benefits

27 Open Enrollment for 2015 runs November 15, 2014 to February 15, 2015 If You Enroll Between the.. Your Coverage Begins the 1 st and 15 th day of the month First day of the next month, but no earlier than January 1, th and last day of the month First day of the second following month

28 Small Business Health Options Program In Year One, SHOP enrollment was facilitated by agents or brokers In Year Two, small businesses will be able to enroll directly via healthcare.gov. They can get assistance from Navigators as well as agents and brokers. Enrollment in SHOP is open all year, not an open enrollment period Plans should be available for comparison in November, the online functionality will go live on November 15

29 Work with your local, state and national LWV to advocate for and support League Health Care positions Advocate with LWV partners, i.e., Florida CHAIN contact Athena Smith Ford at

30 Participate in CMS/ACA Health Care Advisory Committees Volunteer with Enroll America and local Navigator/CAC organizations Become a CAC organization to provide direct application assistance

31 Melanie Hall Execu&ve Director Family Healthcare Founda3on