Survey Data Analysis ObamaCare Seminars

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Horace Waters
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1 Survey Data Analysis ObamaCare Seminars Japanese American Social Services, Inc. (JASSI) 100 Gold Street, Lower Level, New York, NY Phone: ; Website:

2 Seminar ObamaCare At the seminars, the main provisions of the Affordable Care Act, the Health Insurance Marketplace (NY State of Health), and a role of Navigators were explained in both English and Japanese. Seminars were held 5 times; November 9, 13, & 14, 2013, December 7, 2013, and February 22, A total of 380+ people participated in these seminars, mainly Japanese-speaking individuals. 181 filled survey forms were collected from these participants.

3 Ratio of Male to Female Seminar Participation Rate Unkonwn 4% MALE 24% FEMALE 72%

4 Ages of Participants s 30s 40s 50s Unknown 0 Ages

5 Immigration Status of Participants LPR US Unknown O H I E F G4 J L R LPR 65% US 8% Unknown 0% VISA HOLDERS 27% O 12% H 5% I 5% E 1% F 0% J 1% L 1% R 1%

6 Participants Residential Areas NJ 6% NYS 5% BRONX 1% STATEN ISLAND 0% BROOKLYN 17% QUEENS 38% MANHATTAN 33%

7 Percentage of Participants without Health Coverage Unknown 1% NOT COVERED 60% COVERED 39%

Ages of Participants without Health Coverage 35

8 Ages of Participants without Health Coverage s 30s 40s 50s Ages

9 Main Reasons for Not Having Health Coverage (103 answers) Health Insurance is too expensive (80) I have foreign commercial health Insurance from Japan (9) I have Japan s National Health Insurance (5). So, I receive annual exam and medical care when I visit Japan. My employer does not offer health care coverage (3) I have limited coverage options (Hospital, Surgery, & Cancer Treatment) (2) I have a pre-existing medical condition and was unable to get health care coverage (1) I use HHC Options (1) I do not know how to enroll in health coverage or how to choose a health insurance company (1) I hate hospitals (1)

10 Opinions about ObamaCare Negative (37 answers) Still too expensive to buy health insurance. It is not affordable. Too complicated Having health insurance is an individual responsibility to his or her own health, and penalties should not be charged by the government. If the government manages, they should have created a public health insurance system like Japan. Japanese medical providers in NYC do not accept ObamaCare plans. They are useless to me. Too many changes in ObamaCare. It is confusing. Positive (6 answers) It is great that the health plans will cover mental health and people with pre-existing medical conditions. It seems better than the previous health care system. America will finally be able to join the developed countries! It is generally a good policy. No information for non-immigrants Need affordable plans for seniors who are not eligible for premium free Medicare Still hard to create an account on the Marketplace. Security issues (hesitant to input personal information)

11 Access to Health Care Do you believe that you will increase access to health care by having health coverage under ObamaCare? 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% YES NO NOT SURE Unknown Covered Not Covered

12 Concerns about Health Insurance (74 answers) Language Access (Need Japanese Navigators and up-to-date websites about ObamaCare written in Japanese) Too complicated compared to Japan s Health Care System It is hard to understand about in-network and out-of-network system (Why can I just choose doctors and hospitals/clinics freely?) Costs (Health Insurance and medical costs are too expensive) It is hard to estimate the medical costs until you actually get sick. Dental Care Choice of Health Plans Foreign Commercial Health Insurance (Is it qualified as Minimum Essential Coverage? ) Health care coverage for disabilities (Is there health care coverage specifically for people with disabilities?) Medicare vs. ObamaCare (I spend so much money to purchase Medicare. Which plan is better for me?) Limited options to choose coverage for small business employees.

13 Increase in Confidence in the Topics Learned Were you able to clarify and deepen your understanding about ObamaCare and the Health Insurance Marketplace? YES NO Unknown

14 Topics that Participants Are Further Interested in. How to find the best plan Differences between Insurance Companies including qualities Medical Costs Medicaid Health Insurance for Disabilities Medicare and Medicaid for Seniors How to use HealthCare.Gov SHOP Seminars for Businesses Penalties for Businesses

15 Access to Information in their Native Language Did you increase access to important information regarding ObamaCare in your native language? YES NO Unknown

16 Language Access Unknown If we were to have another seminar about ObamaCare in the future, would you want it to be explained in Japanese? YES NO

17 Opinions about Seminars It was very informative! It was very helpful to be explained in Japanese in such complicated topics. It was very useful! Thank you so much for having this seminar! It was informative and highly helpful!

18 Summary 72% of participants were female. 60% of participants did not have health coverage. The main reason of not having health insurance is because it is expensive. Immigration status of participants are LPR, O-visa holders, U.S. citizens, and H, I, E, F, G4, J, L, & R-visa holders accordingly. Although most participants are not sure if ObamaCare will help them use healthcare providers more often, those who are not covered are more likely to believe that they will increase access to health care by having health coverage under ObamaCare than those who are already covered. Approximately 41% of participants still have concerns about Health Insurance. Approximately 92% of participants felt increased in confidence in topics they learned. Approximately 94% of participants felt increased access to resources in their native language. Approximately 80% of participants need language assistance for ObamaCare.

AFFORDABLE CARE ACT FAQ

AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want