Get Covered Ohio: Working with Enroll America to Maximize Enrollment - - PowerPoint PPT Presentation

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Get Covered Ohio: Working with Enroll America to Maximize Enrollment - - PowerPoint PPT Presentation

Feb 21, 2024 46 likes •476 views

Get Covered Ohio: Working with Enroll America to Maximize Enrollment Hugh F. Trey Daly III, Ohio State Director, Enroll America 513-659-0187 tdaly@enrollamerica.org Enroll America will help deliver on the promise of affordable health

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Get Covered Ohio: Working with Enroll America to Maximize Enrollment

Hugh F. “Trey” Daly III, Ohio State Director, Enroll America 513-659-0187 tdaly@enrollamerica.org

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Maximize the number of uninsured Americans who enroll in health coverage made available by the Affordable Care Act

Enroll America will help deliver on the promise of affordable health care for millions of Americans

Enroll America will execute a national enrollment campaign using cutting-edge engagement strategies and will continue to build coalitions + share best practices

Our Mission

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Who we are

Maximize the number of uninsured who get new health insurance made available by the Affordable Care Act

Not for profit Community- Based Non political

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OBJECTIVES

  • Messaging to the Uninsured
  • Partnering with Get Covered America
  • You do Enrollment / We do Outreach
  • Get Covered Data
  • Coordinating Events
  • Healthcare.gov Work Arounds
  • Regional Marketplace Assister Workgroups

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The Enrollment Opportunity

Eligible for Medicaid Expansion Eligible for Exchange Subsidies Not Eligible Due to Income Not Eligible Due to Immigration Status

41% 37% 9% 13%

49 Million Total Nonelderly Uninsured

All States Expand Medicaid

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The 2014 Enrollment Challenge

5 10 15 Source: July 2012 CBO estimates Millions

Enroll more than16 million people in new coverage options

}

9 million in Exchange coverage 7 million in Medicaid or CHIP

}

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The uninsured are a diverse group

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Age Gender Ethnicity Income (as % of Poverty Level

Male 55% Female 45% <138 51% 139-400 38% 19-25 17% <18 16% 26-34 21% 35-54 34% 55-64 12% 400+ 10% White 45% Latino 32% AfAm 15% Other 8%

Source: Kaiser Commission on Medicaid & The Uninsured, October 2012

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Two thirds of the uninsured live in 13 states

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Uninsured by State

<230K 230K - 600K 600K - 1.1M 1.1M+

Number of Uninsured CA TX FL NY IL GA NC OH PA NJ MI AZ VA Rest of the U.S.

67% of uninsured live in 13 states

Source: Census Bureau, Current Population Survey, March 2011 and 2012

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As a result, enrollment will be a challenge to overcome

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Enrollment in optional public benefit programs is well below 100% Limited public awareness of benefits

  • f recent health reforms

Program % of Eligible Enrolled Adult Medicaid 62% Subsidized Medicare 33% Medicare Rx benefit

(low-income subsidy)

40% Unemployment benefits 72-83% Earned income tax credit 80-86% SNAP (food stamps) 54-71%

  • f the uninsured don’t

know about the new health insurance exchanges

  • f people who could

be eligible for the new Medicaid expansion don’t know about it

78% 83%

Lack of awareness provides opportunity for education with effective messaging

Source: Enroll America, November 2012 Source: ASPE, March 2012

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Some Common Key Findings

  • 1. Universal value of insurance
  • 2. Cost and affordability are biggest barriers
  • 3. Universal messages surrounding exchanges
  • 4. Deep skepticism among consumers
  • Previous bad experience
  • Too good to be true
  • 5. Insurance is confusing
  • 6. Latinos vastly overrepresented among uninsured
  • 7. Everyone wants help enrolling in coverage
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However, many have had negative experiences shopping for coverage in the past

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44% have shopped for health insurance outside their job and majority of these individuals have had one or more difficulties

17% 55% 66% 70% 77% "I was denied for a pre-existing condition" "Hard to know where to look to find a plan" "Hard to find a plan that covered care I need" "Hard to understand the fine print and… "Hard to find a plan I could afford"

Source: Enroll America, November 2012

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In Broad Messaging, Introduce Options with Top Facts

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5 Clusters of Targets

  • 1. Uninsured, Unnecessary & Uninterested (11%)
  • 2. Reluctant but Reachable (10%)
  • 3. Desperate and Believing (8%)
  • 4. Connected, Low-income Women (9%)
  • 5. Insured but At-Risk (13%)
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Demographic Profile 18 to 64 at or below 400% FPL

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Uninsured, Unnecessary & Uninterested (11%) Skeptical, Young (Mostly) Men

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Reluctant but Reachable (10%)Young, Diverse, Uninsured

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Desperate & Believing (8%): Poorest, Sickest, Least Educated

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Connected Low-Income Women (9%):The Medicaid/CHIP Connection

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Insured but At-Risk (13%): Young, under 250% FPL

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Fine Tuned Messages from the States

  • The leading perceived benefit among

several populations in several states Peace of Mind

  • A key message for women

Prevention

  • Resonated most with men and young

adults in some states Protection from Financial Ruin or Injury

  • Resonated with African Americans,

Latinos, and Medicaid eligible Access To Care

  • Key message for low income, Medicaid

eligible Low cost or free health insurance coverage

  • The biggest motivator in Massachusetts

Law and Associated Penalties

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Partnering with Get Covered America

You do Enrollment / We do Outreach Get Covered Data Coordinating Events

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Hello!

.

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Get Covered Data

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Coordinate Events

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Another Cool GCD Tool

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Healthcare.gov Work Arounds

  • Is the Consumer Eligible for a Tax Credit?
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Healthcare.gov Work Arounds

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Healthcare.gov Work Arounds

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Healthcare.gov Work Arounds

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Healthcare.gov Work Arounds

  • What plans are available?
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Healthcare.gov Work Arounds

  • How Much Do Plans Cost?
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Healthcare.gov Work Arounds

Premium Family Premium Single Parent Family Premium Couple* Premium Child

Bronze

$763.50 $518.71 $551.28 $136.96

Silver

$904.57 $614.55 $653.13 $162.26

Gold

$1089.47 $740.16 $786.63 $195.43

Platinum

n/a n/a n/a n/a

Catastrophic

$556.17 $377.85 $401.58 $99.77

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Healthcare.gov Work Arounds

Premium Adult Individual Age 27 Premium Adult Individual Age 50*

Bronze $226.03 $385.20 Silver $267.79 $456.37 Gold $322.53 $549.66 Platinum n/a n/a Catastrophic $164.65 $280.60

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Healthcare.gov Work Arounds

  • Do the Plans Cover My Provider / Drugs?

– Anthem Blue Cross Blue Shield – CareSource – Med Mutual – Molina

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Regional Marketplace Assister Groups

  • SW Ohio Marketplace Assister Workgroup
  • Contact:Trey Daly, Enroll America
  • 513-659-0187 - tdaly@enrollamerica.org
  • Next Meeting:

10/24/13, 11/7/13 3:00pm

  • Location: Hamilton County Mental Health and

Recovery Services Board, 2350 Auburn Avenue, Cincinnati 45219

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Regional Marketplace Assister Groups

  • NEO Outreach & Enrollment Council
  • Contact: Stephanie Hicks Thompson, CHAP
  • 216-200-8043 - hicks@chapohio.org
  • Next Meeting: 10/29/13 3:00 pm – 4:30 pm
  • Location: CHAP, 75 Erieview Plaza, 2nd Fl.,

Cleveland, Oh 44144

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Regional Marketplace Assister Groups

  • FQHC Certified Application Counselor

Collaborative

  • Contact: John Leite, Access Health Columbus
  • (419)303-4081 -

john@accesshealthcolumbus.org

  • Next Meeting: 11/19/13, 12/17/13 8:30 am
  • Location: Columbus Public Health, 240

Parsons, Room 119D, Columbus, OH 43215

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Regional Marketplace Assister Groups

  • Medicaid Outreach Consortium
  • Contact: Kimberly Conner, Center for Healthy

Communities

  • kimberly.conner@wright.edu - 937-775-8254
  • Next Meeting: 11/20/13, 8:30 – 10:00 am
  • Location: Opportunity Center, 907 W. Fifth St,

Dayton, OH 45402

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Regional Marketplace Assister Groups

  • Cover NW Ohio
  • Contact: Brad Clark, Neighborhood Health

Association

  • 419-720-7883 ext. 204 -

bclark@NHAINC.ORG

  • Next Meeting: 10/25/13 2:00 pm
  • Location: Mayores Senior Center, 2 Aurora

Gonzales Drive, Toledo, OH 43609