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Introduction Weill Cornell Community Clinic’s Facilitated Insurance Enrollment Program Alina Kutsenko 1, Joshua D. Salvi 1 1 Weill Cornell Medical College,

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Presentation on theme: "Introduction Weill Cornell Community Clinic’s Facilitated Insurance Enrollment Program Alina Kutsenko 1, Joshua D. Salvi 1 1 Weill Cornell Medical College,"— Presentation transcript:

1 Introduction Weill Cornell Community Clinic’s Facilitated Insurance Enrollment Program Alina Kutsenko 1, Joshua D. Salvi 1 1 Weill Cornell Medical College, New York, NY, USA Methods ResultsDiscussion Future Directions References 40% of uninsured people in New York State are eligible for public insurance programs While efforts have been made to make the enrollment process simpler the following barriers still exist: Immigration related concerns Language barriers Changing income requirements Complex Medicaid eligibility rules With new rules and regulations accompanying the Affordable Care Act, uninsured patients need health care navigators to help them maneuver the enrollment process Medical Students with proper training can assist in screening and enrolling uninsured patients WCCC started its facilitated insurance program in August 2009 Provide patients with written educational information on low cost government sponsored health insurance programs Survey patient satisfaction and knowledge about available government insurance programs Improve follow-up by: Employing medical student screeners as case managers for eligible patients Developing a stronger relationship with certified enrollers Improve data collection to obtain more information about patient demographics Train medical student screeners to transition patients into Medicare 1 Niescierenko, et al. Insuring the Uninsured: A Student-Run Initiative to Improve Access to Care in an Urban Community. Journal of the National Medical Association. 2006, 98 (6): 906-911. Program Goals To enroll uninsured patients in Medicaid To analyze what proportion of uninsured patients who utilize the Weill Cornell Communty Clinic (WCCC) are eligible for Medicaid To examine the ability of student-run free clinics to serve as effective conduits for transitioning uninsured patients into Medicaid Day 1 Screens patients on their first clinic visit Week 1 Determines patient eligibility Week 1 Calls eligible patients Refers patients to a certified facilitated enroller Ensures patients have proper information for enrollment Month 2 Checks patient enrollment status 6-12 Months Patient is enrolled 150 new patients were screened for Medicaid eligibility between October 2009 and December 2011 In total, 34 patients (23%) were deemed eligible for Medicaid by the team of medical student screeners 17 of these patients were screened and followed-up between January and December 2011 116 patients (77%) were deemed ineligible by the team of medical student screeners A team of medical students is trained at the start of each academic year The team follows the subsequent steps for each new patient: A large number of patients (23%) may qualify for government sponsored insurance programs It is important to provide such patients with support in the complicated enrollment process Medical student screeners are capable of adequately identifying patients eligible for Medicaid (12% false positive rate) Most patients (77%) are disqualified from Medicaid based on their income levels Others (11%) do not qualify based on their immigration status These results support the use of student run free clinics as effective conduits for transitioning uninsured patients into government run insurance programs Acknowledgements I would like to thank the WCCC co-directors, advisors, and board for their support and guidance as well as all the wonderful patients with whom I have had the pleasure to interact


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