A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL CASTILLO, PHD

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1 A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL CASTILLO, PHD adelante con la salud: latino health care engagement project

2 Health Disparities Within the Colorado Latino Population: A Life Cycle View 2 Compared to other groups, Latinos have the highest health disparities in areas such as: Pregnancy and Birth Outcomes (e.g., infant mortality, perinatal mortality, low-weight births) Children s Health (e.g., obesity & oral health) Youth ( e.g., suicide; teen fertility rates; gonorrhea age 10-17) Adults (e.g., life birth; obesity, diabetes mortality, cervical cancer)

3 3 Status of Health Care for Latinos: Results of Colorado Health Assessment Survey (CHAS): 2011 Barriers to Accessing Health Care On average, Latinos were 40% more likely than Non-Latinos to Have problems Trying To Get Health Care Not Receive Needed Care Due to Costs Have Problems Paying or Unable to Pay Any Medical Bills

4 What Hispanics know about Obamacare 4 In Colorado, 69% of Hispanics find Obamacare confusing and complicated. 54% of Colorado Hispanics can t name one policy that is part of Obamacare. Need for targeted outreach and education

5 5 WHY OBAMACARE MATTERS TO HISPANICS: THE RESEARCH

6 For Hispanics Why the ACA Matters 6 In April 2013 Latino Decisions conducted a poll with Colorado Hispanics and found that 31% of Hispanics lacked health insurance at some time in the past year Twenty percent of low-income Hispanic youth have gone a year without a visiting a health care provider. Half of all Hispanics do not have a regular doctor (US Census 2012) In 2011, one in three Hispanic women were uninsured (14 million Hispanics in the US) making them the largest group of women in the US without health insurance.

7 The Research 7 Sponsors: Adelante con la Salud Latino: Latino Health Care Engagement Project Latino Decisions 401 self-identified Latino adults No screen on citizenship or voter registration Conducted April 11-16, 2013 All respondents selected at random Landline and cell-phone only households included along with on-line web sample Nominal margin of error is +/- 4.9% Interviews in Spanish or English at subject s discretion

8 Perceptions of the ACA 8 How much do you know about the Affordable Care Act, sometimes called Obamacare? Don't know 9% Pretty well informed 22% Confusing and complicated 69% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

9 Health Care Costs for Families 9 Decreased 3% No change 42% DK 6% Increased 49% In the past year has the total amount you pay for your family's health care increased, decreased, or remained the same? Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

10 Undocumented Immigrants & the ACA Regardless of what you ve heard about the law, do you think undocumented immigrants should be able to access ACA benefits? No, should not 29% Don't Know 9% Yes, should be eligible 62% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

11 ACA Information Language Preference 11 Which language(s) would you prefer to receive information about the new health care law? Both 27% Spanish 14% English 59% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

12 Preferred ACA Information Format 12 Pamphlet mailed home 35% Television Website 30% 30% Pamphlets at doctor 17% 14% Call to home Radio Hear from Text 7% 5% 4% 2% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

13 Trusted sources of information 13 Hospitals Doctors Community Orgs Insurance companies Family Neighborhood clinics Employer Friends Elected officials Church Nurses 7% 6% 6% 5% 5% 17% 15% 13% 12% 21% 27% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April (N=401)

14 HOW OBAMACARE IS HELPING THE HISPANIC COMMUNITY

15 ACA already at work for Hispanics million Hispanics who have private insurance now have access to expanded preventive services without additional costsharing

16 Prevention and Obamacare 16 Services that are covered with no-cost sharing if you have private health insurance include: Well-child visits Blood pressure, diabetes and cholesterol screenings Pap tests and mammograms for women Flu shots for adults and children Breast feeding supplies Alcohol misuse screening and counseling STD screenings

17 17 Expanding Access to Community Health Centers Colorado was awarded $104,071,213 to help expand services. 175 health centers are providing preventive and primary health care services to 474,241 people. In 2009, close to 35% of patients served by community health centers were Hispanic

18 More Culturally Responsive Care 18 Increase health care workforce from communities of color through scholarship and loan repayment opportunities for people who commit to work in medically underserved areas

19 More Culturally Responsive Care 19 Current State People with limited English proficiency are less likely to have a regular source of care and get preventive care Opportunities because of the ACA Cultural responsive training among health care providers to better address the needs of Hispanics Less satisfied with quality of care

20 Expanding Coverage for Hispanics 20 Hispanics have the most to gain from health care reform Estimates from RAND suggest that by 2016, 5.4 million Latinas/os will gain healthcare coverage who would otherwise be uninsured

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