Identifying Gaps in Marketplace Outreach to Populations with Past Low Enrollment in States with Federally Facilitated Marketplaces Kaitlyn Donaldson.

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Presentation transcript:

Identifying Gaps in Marketplace Outreach to Populations with Past Low Enrollment in States with Federally Facilitated Marketplaces Kaitlyn Donaldson

Individual Marketplaces During the fourth open enrollment period 27 states with federally-facilitated marketplaces (FFM) 6 states with partnership marketplaces Target populations for outreach  historically underinsured

% of Uninsured Adults Reporting Awareness of the Marketplace Data from the Commonwealth Fund Affordable Care Act Tracking Survey, Feb-April 2016

Best Practices in Outreach Culturally appropriate outreach Materials available for non-English speakers Targeted outreach acknowledging differences in need, concerns LGBT-friendly outreach Community-based partners Schools, churches, beauty and barber shops, local grocery or community stores, local organizations Adapt and adjust outreach

Research Goals Goal #1: Identify areas with past low enrollment Measuring enrollment QHP purchases as a percentage of uninsured population Limitations: lack of data, small population Mapping enrollment

Overall Enrollment, OE3

Racial Disparities in Enrollment Highest enrollment among Asian Americans Asian American Enrollment, OE3

Racial Disparities in Enrollment Much lower enrollment among African American, Native American, and Hispanic & Latino populations African American Enrollment, OE3

Research Goals Goal #2: Assess outreach efficiency Are more resources invested in areas that have had low enrollment in the past? Past Enrollment Outreach

PRG Outreach & Past Enrollment PRG Events, February 2015 – January 2016

Navigator Grant Recipients Past Enrollment by State and Navigator Grant Amounts, 2016

Outreach & Past Enrollment Past Enrollment & Navigator Events by State February 2016 – January 2017

Outreach & Past Enrollment Past Enrollment & All CMS Outreach Events by State February 2016 – January 2017

Research Goals Goal #3: Assess volume of outreach to racial/ethnic minorities Is there enough outreach directed towards these populations?

Outreach to Racial & Ethnic Minorities Distribution of the Uninsured Population by Race/Ethnicity PRG Events – Did the event target a racial/ethnic minority group?

Outreach to Racial & Ethnic Minorities Distribution of the Uninsured Population by Race/Ethnicity Navigator Events – Did the event target a racial/ethnic minority group?

Outreach to Racial & Ethnic Minorities Distribution of the Uninsured Population by Race/Ethnicity All CMS Outreach – Did the event target a racial/ethnic minority group?

Outreach to Racial & Ethnic Minorities Distribution by Race/Ethnicity, 2016

Research Goals Goal #4: Assess enrollment of and outreach for the LGBT population Interview with Katie Keith, Out2Enroll How has enrollment changed? What is the state of outreach towards LGBT individuals?

LGBT Enrollment Data from the Center for American Progress’s survey on LGBT Americans & Health Insurance

LGBT Outreach % of Events Targeting the LGBT Population **About 5% of the uninsured population identifies as LGBT**

Gaps in LGBT Outreach Resources for closeted LGBT individuals in the South Culturally competent outreach for LGBT people of color Underutilization of potential venues for outreach

Trends in LGBT Outreach Increased outreach to LGBT individuals More resources available to navigators Improved outreach for transgender individuals

Recommendations Improve data collection Racial and ethnic minority groups LGBT population Perform targeted and proportionate outreach to racial and ethnic minority groups Targeted outreach to each community

Recommendations Determine the cause(s) of consistently low enrollment Insufficient income? Bad outreach? No outreach? Invest in outreach more efficiently

Recommendations Ensure information about LGBT enrollment is universally accessible to a diverse population Geographic regions LGBT people of color Transgender individuals

Questions?