Planning Enrollment Assistance: Emerging Best Practices in Two States

Transcription

1 Planning Enrollment Assistance: Emerging Best Practices in Two States December 12,

2 Agenda Welcome Ani Fete, Enroll America Exchange Development Update Jenny Sullivan, Enroll America Conversation with the Experts Sarah Soto-Taylor, Covered California Kathy Chan, Illinois Maternal and Child Health Coalition Q&A

3 What kind of exchange are states likely to have? 880,200 As of December 12, ,300 73,800 57, ,700 7 million 633,000* 544, , ,300 87, ,600* 104, , , , , , , million 1.2 million 655, million 1.3 million 1 million 119, ,000* 1.2 million 104, ,000* 130, ,000* Alaska: [119,700] Hawaii: [90,900] 1.2 million 417, , million 526, , , , million 838, million FFE likely (rejected state exchange) Partnership exchange likely State exchange likely Not enough information Note: Numbers provided are non-elderly uninsured, based on the Census Bureau s Current Population Survey ( two-year merge). Asterisked states have obtained HHS s conditional approval for their state-based exchange.

4 Federal Guidance Update New FAQ includes details about consumer assistance in federally-facilitated and partnership exchanges HHS plans to award Navigator grants for FFE states in June 2013 HHS will develop and administer a Navigator training program and certification exam Coming soon: Medicaid eligibility regulation, model single streamlined application

5 Outstanding Questions about Assistance Scope of navigator programs? Which states will also design separate in-person assistance programs? How does exchange type affect assistance options? How will in-person assistance be coordinated with phone and online assistance options? 5

6 How has California approached the planning process for consumer assistance?

7 Target Populations The primary target population of Covered California s marketing and outreach efforts are the 5.3 million California residents projected to be uninsured in 2014: 2.6 million who qualify for subsidies and are eligible for Covered California qualified health plans; and 2.7 million who do not qualify for subsidies, but now benefit from guaranteed coverage and can enroll inside or outside of Covered California. By 2015 Enrollment of 1.4 million Californians in qualified health plans 7

8 Assisters Program Covered California will operate an Assisters Program whose purpose will be to help individual consumers enroll in Covered California Programs. Assisters will be compensated for applications that result in enrollment in a Qualified Health Plan. Recruitment for the Assisters Program will begin in the summer of More details on the Assisters Program will be coming. 8

9 Assisters Program Components Key Feature $58 per Application Grant Program Completes ACA mandated Navigator roles and responsibilities. Provides assistance with enrollment in-person and inlanguage Funded by Grant Funding from Federal Government Yes No Funded through Covered California operating budget No Yes Assistance compensated through a grant program No Yes Assistance compensated through pay for performance Yes No Yes Yes Yes Yes 9

10 Grant Program Purpose Promote public awareness and inform consumers and small businesses about their options to obtain affordable health coverage through the new insurance marketplace. Provide consumers and small businesses with information and tools where individuals and employers can enroll on their own. Remove barriers to enrollment that keep eligible consumers and small businesses from applying. Drive individual consumers to Assisters Program resources that are available to them. Drive small businesses to Agent resources. Complement the Assisters Program and the broader marketing strategy, including Covered California s qualified health plan marketing efforts. 10

11 Grant Program Goals and Objectives 1. Ensure participation of organizations with trusted relationships with the uninsured markets. 2. Establish a linguistically and culturally diverse statewide network of Outreach and Education Grantees to target regions and populations, including audiences with limited English proficiency. 3. Deliver a cost-effective program that promotes and maximizes enrollment. 11

12 Grant Program Goals and Objectives 4. Ensure that the network of Grantees performs the following program priorities collectively and independently: A. Target outreach and education resources to geographic areas, small businesses, employment sectors and organizations with access to the specific target populations with the most opportunity to enroll. B. Access populations with a variety of health statuses who are eligible for Covered California s affordable health care programs, including the Small Business Health Options Program (SHOP). C. Deliver culturally and linguistically competent outreach and education messages that respond to the preferences, motivations and challenges of the target market. 12

13 Grant Program Goals and Objectives D. Employ outreach and education techniques likely to increase awareness of the opportunity to enroll in affordable health insurance beginning in E. Disseminates clear, accurate and consistent messages to target audiences that eliminate barriers, increase interest and motivate consumers and small businesses to enroll into coverage. F. Collect leads for Assisters and the Covered California Service Center who will perform application assistance. 5. Ensure that the network of grantees collaborates with other components of the Statewide Marketing, Outreach and Education and Assisters Program, including participating in private, state and public agency partnerships. 13

14 What are some of the key lessons California is learning that might assist other states in designing their consumer assistance plans?

15 Engagement Partner with organizations with trusted and established relationships with the public to: Increase awareness and understanding of health care options; Promote a culture of coverage; Communicate the importance of having health coverage; Remove barriers to enrollment; and, ultimately, Motivate Californians to take the action to enroll. 15

16 Community Mobilization At Work 16

17 Where is Illinois in its planning process for consumer assistance?

18 Status of Consumer Assistance in Illinois All Kids Application Agents 400+ registered throughout Illinois Until July 1, 2012, AKAAs were paid $50/application Eligible for Medicaid administrative match Submitted nearly half of all applications with 90%+ approval rate Senior Health Insurance Program Medicare Part D Immigrant Family Resource Program helps connect immigrants with public benefits programs Illinois Maternal & Child Health Coalition

19 Status of Consumer Assistance in Illinois (cont d) Governor s Health Care Reform Implementation Council heard testimony on Navigators throughout Summer 2011 Navigator report released June 2012 In 2014, federal government will oversee Navigator program in the partnership model Illinois intends to run a state-based Exchange starting in 2015 and would run all aspects of the Exchange, including the Navigator program Pending Consumer Assistance Program grant at Illinois Department of Insurance Illinois Maternal & Child Health Coalition

20 What We Know From All Kids Welcome Mat effect New name helped with (re)branding efforts Prioritized by Governor s office Institutionalized in state agency outreach Coordinated trainings and community mobilization Pre-registration events Partnership opportunities Illinois Maternal & Child Health Coalition

21 What We Know (cont d) From All Kids Broad-based paid and earned media campaign Focus groups to test messages While no income limit, helpful to provide amount Helpful to mention benefits covered doctor visits, prescriptions, dental visit Partnerships with community-based organizations and ethnic-specific agencies TV and radio ads in English and Spanish, with customized messages Illinois Maternal & Child Health Coalition

22 How is stakeholder input incorporated into Illinois s planning process?

23 What We re Doing Starting Strong Collaborative Health care foundations and advocates Quarterly meetings Help to bring together partners and grantees Co-hosted Illinois Enrollment Summit with Enroll America and Blue Cross Blue Shield of Illinois Participants included: FQHCs and provider networks Brokers/agents Insurance Carriers Advocates and the United Way Determining next steps Illinois Maternal & Child Health Coalition

24 What We re Doing (cont d) Monitoring rollout of Navigator/IPA program Build upon existing networks (AKAAs, SHIPs, IFRP) Robust and comprehensive training Special focus on outreach to vulnerable and hard-toreach populations, e.g. homeless and persons with limited English proficiency Conduct needs assessment to best craft RFP and target grants Use as a feedback mechanism for the Exchange Illinois Maternal & Child Health Coalition

25 Illinois Enrollment Summit Tuesday, October 23, :15am 4pm 8:15 8:45 Registration/Breakfast/Networking 8:45 9am Welcome purpose and goals of meeting Ani Fete, Director, State Assistance, Enroll America Donna Gerber, Vice President of Community Investments and Strategy, Blue Cross and Blue Shield of Illinois Janine Lewis, Executive Director, Illinois Maternal and Child Health Coalition 9 9:30am Introductions 9:30 10:30am Landscape of Illinois un- and underinsured What we know and what additional information is available from the Illinois Health Matters Data Visualization tool Stephani Becker, Project Director, Illinois Health Matters and Senior Policy Advisor, Health and Disability Advocates Lessons learned from enrolling children and parents into Illinois public coverage programs Laura Leon, Director of Faith Initiatives, Campaign for Better Health Care 10:45 11:15 Updates on Consumer Assistance Programs Frank Varela-Kisner, Deputy Director of Consumer Education, Illinois Department of Insurance 11:15 12:15 Best practices for outreach and enrollment for special populations Amy Lin, Deputy Policy and Organizing Director, Young Invincibles Luvia Quinones, Director, Immigrant Family Resource Program, Illinois Coalition for Immigrant and Refugee Rights Erin Weir, Manager of Health Care Access, AgeOptions 12:15 1pm Lunch Kenneth Munson, Region V Director, U.S. Department of Health and Human Services 1:15 2:15pm Presentation on national survey results on messaging Martine Apodaca, Director, Public Education, Enroll America 2:15 3:00 Small group discussions 3:00 3:30 Report back 3:30 4:00 Closing and next steps Ani Fete, Director, State Assistance, Enroll America Donna Gerber, Vice President of Community Investments and Strategy, Blue Cross and Blue Shield of Illinois Janine Lewis, Executive Director, Illinois Maternal and Child Health Coalition

26 What We re Doing (cont d) Continued conversations with IL Dept of Insurance Medicaid Advisory Committee Public Education Subcommittee members helps review client and provider notices sent by HFS Next meeting Thursday, Dec 13, 9am 11am Ongoing ACA education and outreach Agency/organizational infrastructure Community/patient education New partnership opportunities Illinois Maternal & Child Health Coalition

27 Pending Illinois Policy Decisions Illinois EHB benchmark plan selection BCBS Blue Advantage Establishment of a Competitive Health Insurance Marketplace in Illinois (aka the Exchange ) Single-entry point, simplified screening/application process Developing a Navigator Program Ensure Illinois covers all of the newly eligible in Medicaid Implementation of Medicaid reform legislation State budget challenges - ongoing need to preserve Medicaid and related programs Illinois Maternal & Child Health Coalition

28 Outreach and Enrollment Resources More Information On: Enrollment Assistance Resource Center Exchange branding research Public opinion polling Statewide marketing and outreach plans 28

29 State Profiles and Maps

30 More information Materials and replay of State Refor(u)m s webinar Engineering an Exchange: A Look at State Blueprints and Decisions

31 Questions? Ani Fete Director, State Assistance Enroll America