Get Covered Ohio: Working with Enroll America to Maximize Enrollment - PowerPoint PPT Presentation

Get Covered Ohio: Working with Enroll America to Maximize Enrollment Hugh F. “Trey” Daly III, Ohio State Director, Enroll America 513-659-0187 tdaly@enrollamerica.org

Enroll America will help deliver on the promise of affordable health care for millions of Americans Our Mission Maximize the number of uninsured Americans who enroll in health coverage made available by the Affordable Care Act Enroll America will execute a national enrollment campaign using cutting-edge engagement strategies and will continue to build coalitions + share best practices 2

Who we are Community- Non Not for Based political profit Maximize the number of uninsured who get new health insurance made available by the Affordable Care Act

OBJECTIVES • Messaging to the Uninsured • Partnering with Get Covered America o You do Enrollment / We do Outreach o Get Covered Data o Coordinating Events • Healthcare.gov Work Arounds • Regional Marketplace Assister Workgroups 4

The Enrollment Opportunity 49 Million Total Nonelderly Uninsured All States 41% 37% 9% 13% Expand Medicaid Eligible for Medicaid Expansion Eligible for Exchange Subsidies Not Eligible Due to Income Not Eligible Due to Immigration Status

The 2014 Enrollment Challenge Enroll more than 16 million people in new coverage options 15 } 9 million in Exchange coverage 10 Millions } 5 7 million in Medicaid or CHIP 0 Source: July 2012 CBO estimates 6

The uninsured are a diverse group Gender Age Female 45% Male <18 26-34 35-54 55-64 19-25 55% 16% 21% 34% 12% 17% Income (as % of Poverty Level Ethnicity Other 8% AfAm 15% White 139-400 400+ <138 45% Latino 38% 10% 51% 32% Source: Kaiser Commission on Medicaid & The Uninsured, October 2012 7

Two thirds of the uninsured live in 13 states Uninsured by State 67% of uninsured live in 13 states CA Rest of the U.S. TX FL VA NY Number of Uninsured AZ IL GA NJ MI <230K 230K - 600K - 1.1M+ PA OH NC 600K 1.1M Source: Census Bureau, Current Population Survey, March 2011 and 2012 8

As a result, enrollment will be a challenge to overcome Enrollment in optional public benefit Limited public awareness of benefits programs is well below 100% of recent health reforms of the uninsured don’t % of Eligible 78% Program know about the new Enrolled health insurance Adult Medicaid 62% exchanges Subsidized Medicare 33% Medicare Rx benefit 40% of people who could (low-income subsidy) 83% be eligible for the new Unemployment benefits 72-83% Medicaid expansion Earned income tax credit 80-86% don’t know about it SNAP (food stamps) 54-71% Source: Enroll America, November 2012 Source: ASPE, March 2012 Lack of awareness provides opportunity for education with effective messaging 9

Some Common Key Findings 1. Universal value of insurance 2. Cost and affordability are biggest barriers 3. Universal messages surrounding exchanges 4. Deep skepticism among consumers  Previous bad experience  Too good to be true 5. Insurance is confusing 6. Latinos vastly overrepresented among uninsured 7. Everyone wants help enrolling in coverage

However, many have had negative experiences shopping for coverage in the past 44% have shopped for health insurance outside their job and majority of these individuals have had one or more difficulties "Hard to find a plan I could afford" 77% "Hard to understand the fine print and… 70% "Hard to find a plan that covered care I need" 66% "Hard to know where to look to find a plan" 55% "I was denied for a pre-existing condition" 17% Source: Enroll America, November 2012 11

In Broad Messaging, Introduce Options with Top Facts

5 Clusters of Targets 1. Uninsured, Unnecessary & Uninterested (11%) 2. Reluctant but Reachable (10%) 3. Desperate and Believing (8%) 4. Connected, Low-income Women (9%) 5. Insured but At-Risk (13%)

Demographic Profile 18 to 64 at or below 400% FPL

Uninsured, Unnecessary & Uninterested (11%) Skeptical, Young (Mostly) Men

Reluctant but Reachable (10%)Young, Diverse, Uninsured

Desperate & Believing (8%): Poorest, Sickest, Least Educated

Connected Low-Income Women (9%):The Medicaid/CHIP Connection

Insured but At-Risk (13%): Young, under 250% FPL

Fine Tuned Messages from the States • The leading perceived benefit among Peace of Mind several populations in several states Prevention • A key message for women Protection from • Resonated most with men and young Financial Ruin or Injury adults in some states • Resonated with African Americans, Access To Care Latinos, and Medicaid eligible Low cost or free health • Key message for low income, Medicaid insurance coverage eligible Law and Associated • The biggest motivator in Massachusetts Penalties

Partnering with Get Covered America You do Enrollment / We do Outreach Get Covered Data Coordinating Events

Hello! .

Get Covered Data

Coordinate Events

Another Cool GCD Tool

Healthcare.gov Work Arounds • Is the Consumer Eligible for a Tax Credit?

Healthcare.gov Work Arounds

Healthcare.gov Work Arounds

Healthcare.gov Work Arounds

Healthcare.gov Work Arounds • What plans are available?

Healthcare.gov Work Arounds • How Much Do Plans Cost?

Healthcare.gov Work Arounds Premium Premium Premium Premium Family Single Couple* Child Parent Family Bronze $763.50 $518.71 $551.28 $136.96 Silver $904.57 $614.55 $653.13 $162.26 Gold $1089.47 $740.16 $786.63 $195.43 Platinum n/a n/a n/a n/a Catastrophic $556.17 $377.85 $401.58 $99.77

Healthcare.gov Work Arounds Premium Adult Premium Adult Individual Age Individual Age 27 50* Bronze $226.03 $385.20 Silver $267.79 $456.37 Gold $322.53 $549.66 Platinum n/a n/a Catastrophic $164.65 $280.60

Healthcare.gov Work Arounds • Do the Plans Cover My Provider / Drugs? – Anthem Blue Cross Blue Shield – CareSource – Med Mutual – Molina

Regional Marketplace Assister Groups • SW Ohio Marketplace Assister Workgroup • Contact:Trey Daly, Enroll America • 513-659-0187 - tdaly@enrollamerica.org • Next Meeting: 10/24/13, 11/7/13 3:00pm • Location: Hamilton County Mental Health and Recovery Services Board, 2350 Auburn Avenue, Cincinnati 45219

Regional Marketplace Assister Groups • NEO Outreach & Enrollment Council • Contact: Stephanie Hicks Thompson, CHAP • 216-200-8043 - hicks@chapohio.org • Next Meeting: 10/29/13 3:00 pm – 4:30 pm • Location: CHAP, 75 Erieview Plaza, 2 nd Fl., Cleveland, Oh 44144

Regional Marketplace Assister Groups • FQHC Certified Application Counselor Collaborative • Contact: John Leite, Access Health Columbus • (419)303-4081 - john@accesshealthcolumbus.org • Next Meeting: 11/19/13, 12/17/13 8:30 am • Location: Columbus Public Health, 240 Parsons, Room 119D, Columbus, OH 43215

Regional Marketplace Assister Groups • Medicaid Outreach Consortium • Contact: Kimberly Conner, Center for Healthy Communities • kimberly.conner@wright.edu - 937-775-8254 • Next Meeting: 11/20/13, 8:30 – 10:00 am • Location: Opportunity Center, 907 W. Fifth St, Dayton, OH 45402

Regional Marketplace Assister Groups • Cover NW Ohio • Contact: Brad Clark, Neighborhood Health Association • 419-720-7883 ext. 204 - bclark@NHAINC.ORG • Next Meeting: 10/25/13 2:00 pm • Location: Mayores Senior Center, 2 Aurora Gonzales Drive, Toledo, OH 43609