Enrolling students: what works and doesn t work PRESENTED BY: DR. WALTER ZELMAN, WENDY LEE,

Transcription

1 Enrolling students: what works and doesn t work PRESENTED BY: DR. WALTER ZELMAN, WENDY LEE, NATASHA BURANASOMBATI CALIFORNIA STATE UNIVERSITY, LOS ANGELES

2 Overview Grant and project background First campus poll: September 2013 Strategies that worked and did not work Second campus poll: April/May 2014 Conclusions and next steps

3 Our grant $ $1.25 million Our Mission Our Function Campus selection Jul Dec 2014 Educate CSU students, families & staff Outreach & education, not enrollment 23 CSU campuses; staffed at 15 campuses ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 3

4 Percent of CSU student population (n = 445,365) CSU Demographics: 455,365 Students Male Female Latino Asian/Pacific Islander African American White *Note: Data from CSU Statistical Reports for ( ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 4

5 CSU student population Income of CSU students, % >400% FPL 36.1% % FPL 44.5% <138% FPL For a family of 4 in CA, Median income = $77, % FPL = $32,499 Nearly half of our students report incomes less than 138% FPL, far below median income. Note: The definition of Federal Poverty Level (FPL) used here was based from 2013 Federal Poverty Guidelines. According to 2013 Federal Poverty Guidelines, FPL is $11, 490 for an individual and $23,550 for a family of 4. ( *Median income for California based from US Census Bureau American Community Survey State Median Family Income by Family Size (3-year, 2011): ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 5

6 Polling of CSU students First poll: To help us develop strategy 836 surveys 3 campuses (Fresno, Los Angeles, San Jose) in September 2013 Second poll: To assess how we did on outreach/education 1,971 surveys 7 campuses (Fresno, Fullerton, Long Beach, Los Angeles, Northridge, Sacramento, San Jose) in April/May 2014 ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 6

7 In September 2013, nearly one-third of CSU students were uninsured* Uninsured Students by Campus San Jose % 65-70% Los Angeles 35 Fresno 33 Insured Uninsured Percent *Note: Data from CSU Health Insurance Education Poll conduced in Fall Three CSU campuses (Fresno, Los Angeles, and San Jose) were surveyed (n=836). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 7

8 Rate of uninsured among CSU students consistent with statewide average Likelihood of being uninsured, by age (2013 CA Healthcare Foundation) 18 to to CSU estimated rate Percent *Note: Data shown are from the California Healthcare Foundation Almanac California s Uninsured: By the Numbers, December 2013 ( CSU estimated rate is based off adjustment of results from first poll. ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 8

9 Percent Why were students uninsured?* % Cannot afford it Would like to buy it but rejected Affordability, not invincibility 4% 2% Do not want it 7% 8% Do not think I need it Other *Note: Data from CSU Health Insurance Education Poll conduced in Fall Three CSU campuses (Fresno, Los Angeles, and San Jose) were surveyed (n=836). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 9

10 Students trusted sources of information Which are trusted sources of information about Affordable Care Act?* CA state government 65 Student health center 53 Faculty/professor 44 Other 30 Student government 18 Fellow student 12 Social media Percent *Note: Data from CSU Health Insurance Education Poll conduced in Fall Three CSU campuses (Fresno, Los Angeles, and San Jose) were surveyed (n=836). For this question, students were asked to select their top 3 trusted sources of information. As a result, percentages shown do not add up to 100% as students were able to select more than one answer. ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 10

11 Key strategic goals Emphasize student need for insurance, not ideology or politics Focus on 15 largest campuses: 87% of CSU enrollment Build partnerships with the campus groups Emphasize peer to peer education Gain support of Chancellor s Office Engage Public Health/Health Science faculty ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 11

12 Primary Tools Classroom presentations New student orientations Campus-wide forums collection Tabling Mass s Social media & web pages ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 12

13 Lessons from our first poll It s not about invincibility Only 9% of uninsured say they don t want or don t need health insurance It s about affordability Of uninsured, 79% were uninsured because they can t afford it Majority of CSU students (73%) believed they should have insurance because they need to have access to care when they need it. *Note: Data from CSU Health Insurance Education Poll conduced in Fall Three CSU campuses (Fresno, Los Angeles, and San Jose) were surveyed (n=836). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 13

14 Our message You need insurance; things happen. It is much more affordable than you think. It is easy to sign up, like applying for financial aid. You can do this. ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 14

15 What worked best Repetition Doesn t matter what they say so long as they get your name right. --Former California Assembly Speaker Willie Brown Multiple tools and flexibility Different campuses favored different strategies Focus on affordability ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 15

16 CSU branded information: Affordability, First and Last ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 16

17 What worked best Classroom presentations Five minutes works Smaller classes (~40) may be better About 1,500 class presentations (average 40 students/class): 60,000 students Student-to-student approach Emphasis on lowest-cost plan They might buy the Silver, but the Bronze gets the foot in the door. Campus wide s, reaching as many as 30,000 students/ Support from Chancellor s office: Access and Credibility ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 17

18 What worked best Support of student health centers Faculty support: positive intro made a difference Educational tools specific to college population Good media response: Use of student spokespersons Speaking the language of the students Media tended to be kinder to students ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 18

19 What did not work so well Engaging campus groups Student governments Outreach through social media Tabling ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 19

20 Post-enrollment: How did we do? We conducted poll on seven CSU campuses 7 campuses chosen to reflect key demographics of the 15 staffed campuses (87% of total CSU student population) Goal: To determine whether students enrolled, and why or why not Voluntary, anonymous survey IRB approval on all campuses Current data based off of 1,971 survey responses ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 20

21 Percent of student population Characteristics of staffed CSU campuses polled campuses 8 non-polled campuses Male Female African American Asian/PI Latino White *Note: Data from CSU Statistical Reports for ( ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 21

22 Percent of Student Population Post-enrollment: How did we do? 40 Uninsured by Campus, CSU estimate, 2013 Fresno Fullerton Long Beach Los Angeles Northridge Sacramento San Jose Overall *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 22

23 Percent Post-enrollment: How did we do? Uninsured by Key Demographics Fall 2013 Spring Asian/Pacific Islander Black Latino White Women *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 23

24 Percent Post-enrollment: How did we do? Uninsured Students by Campus Fall 2013 Spring Fresno Los Angeles San Jose *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 24

25 Percent 2014: How many people signed up? Approx. 33% newly enrolled in Covered CA/Medi-Cal Covered CA Medi-Cal (new) Signed up & waiting Been in Medi- Cal Insured, other Uninsured Don't know Family member enrolled *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971).

26 Percent Students talked to others about getting health insurance Who students talked to about health insurance Friends who are not students Family Other students Other individuals Didn't talk to anyone about it *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 26

27 Affordability first, but penalty may have mattered Main reason that students signed up for Covered CA Insurance was made affordable 45 Pre-existing condition 8 Did not want to pay fine 27 Like availability of choices 12 None of the above Percent *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 27

28 Why some are still uninsured Too expensive, did NOT look at prices Looked at prices, but too expensive % of uninsured students are reachable Tried to get it, but too difficult 15 Don't know enough 27 Don't want insurance 9 Other Percent *Note: Data from CSU Health Insurance Education Poll conducted in Spring Seven CSU campuses were surveyed (n=1971). ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 28

29 Primary Takeaways If you build it they will come: Students want insurance It is about affordability, not invincibility Value of credible messenger Students talk to families and friends This is clear in enrollment of family members Low bar for collection of s Separation of outreach/education and enrollment? ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 29

30 State university systems as the low hanging fruit Middle to lower income populations Large numbers of uninsured students and families Locked in audience Students are reachable and educable Almost all states have a state university system. ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 30

31 Next steps Grant funded through 2014 Institutionalize outreach/education efforts Improve coordination with Student Health Centers Reach the harder-to-reach students ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 31

32 Adding value to the future Large numbers of newly insured students Lower premiums More sizeable, healthier Covered CA pool Larger Covered CA More market leverage (size) Lower premiums (healthier pool) ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 32

33 Acknowledgements Covered California Dr. Timothy White, CSU Chancellor CSU Departments of Public Health/Health Science California State University, Los Angeles 35 student campus coordinators Tiffany Tsukuda, CSULA 10 ENROLLING STUDENTS: WHAT WORKS & DOESN T WORK 33

34 Thank you CSU Health Insurance Education Project Walter Zelman Wendy Lee Natasha Buransombati