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Invincibles Webinar Presentation for Navigators/Producers

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  • YI is a national non-partisan, non-profit organization that works on behalf of young adults ages 18-34. We got our start in 2009 when several G’town law students became interested in amplifying the young adult voice during the HC reform debate. Since that time, our interests have expanded to include higher education affordability and youth unemployment concerns.
    This picture was taken on our nat’l bus tour in the spring of 2012. It was an opportunity for us to interact with and work with young adults all across the country.
  • American Fact Finder: HEALTH INSURANCE COVERAGE STATUS BY SEX BY AGE
    Universe: Civilian noninstitutionalized population  2011 American Community Survey 1-Year Estimates
    Total Nevada Residents: http://kff.org/other/state-indicator/total-population/
    Nevada 18-34: http://health.younginvincibles.org/wp-content/uploads/2013/09/hc-state-fact-sheet-NV.pdf
  • Let people know htat this is another option
    Lots of students may/may not be on it; concerned it may change
  • http://www.census.gov/cps/data/cpstablecreator.html
  • No dental
    Includes standards for prescription drug coverage to ensure that individuals have access to need prescription medications.
    Learn about each service
    http://www.kff.org/healthreform/upload/8061.pdf
    Beginning in 2014, Non-grandfathered plans(health care plans that renewed) in the individual and small group markets both inside and outside of the Exchanges, Medicaid Benchmark and Basic Health Programs must cover Essential Health Benefits in 2014
    http://www.healthcare.gov/news/factsheets/2012/11/ehb11202012a.html
    http://www.statehealthfacts.org/profileind.jsp?cat=17&rgn=37
    Require qualified health plans to provide at a minimum coverage without cost-sharing for preventive services rated A or B by the U.S. Preventive Services Task Force, recommended immunizations, preventive care for infants, children, and adolescents, and additional preventive care and screenings for women. (Effective six months following enactment)
    http://www.kff.org/healthreform/upload/8061.pdf
    Ambulatory: http://www.snhhs.org/Leaving-Hospital
    Hospitalization: http://www.futurity.org/wp-content/uploads/2012/09/safety_hospital_1.jpg
    Maternity/newborn care: http://babies-children.com/images/wallpaper/baby-2.jpg
    Mental health and substance use disorder services : http://www.kaiserquotes.com/blog/wp-content/uploads/2012/01/Mental-Health-Insurance_XL.jpg
    Prescription drugs: http://www.recyclemorewisconsin.org/wp-content/uploads/2013/01/Medications.jpg
    Rehabilitative and habilitative services: http://www.siskinrehab.org/photos/3163-46.jpg
    Laboratory services: http://or.ucsf.edu/ehs/11567-DSY/version/default/part/ImageData/data/Lab%20Glassware.jpg
    Preventive and wellness services/chronic disease management: http://blackgirlsguidetoweightloss.com/wp-content/uploads/2012/02/gym.jpg
    Pediatric services: http://thumbs.dreamstime.com/thumblarge_326/1224802955VoBt2h.jpg
  • Highest uninsured
    Myth that we think that we don’t need that study
    The majoirty of young adults do want health insurance donth
  • Important to highlight that:
    We are highly uninsured
    We want health insurance
    We value insurance as demonstrated through the commonwealth poll because when offered, we are covered if offered through parent, employer or spouse
    Don’t get covered because we can’t afford it
    Gallup poll:
    68% is the percent of uninsured under 30 who said they were more likely to get insurance than pay the fine (when given the choice between the two).
    http://www.gallup.com/poll/166115/one-four-uninsured-plan-remain.aspx
    Commonwealth: Survey participants said “no” to needing insurance because they are covered through a parent, partner or because they cannot afford it. Survey (ages 19-29) found high enrollment rates when offered through jobs. 19-25 are more likely to be covered under their parents; compared to 26-29.
    Among 19-to-29-year-olds who chose not to join their employer’s policy, only 5 percent said they did not need coverage. Among the rest, 36 percent said they already had insurance through their parents, 19 percent said they had coverage through a spouse or partner, and 22 percent said the coverage was too expensive
    http://www.commonwealthfund.org/Publications/Issue%20Briefs/2013/Aug/Covering-Young-Adults-Under-the-Affordable-Care-Act.aspx
  • Millenial research: Results for the January 2010 Millennial Survey are based on telephone interviews conducted under the direction of Abt SRBI Inc. among a national sample of 2,020 adults living in the continental United States, 18 years of age and older
    http://www.pewsocialtrends.org/2010/02/24/millennials-confident-connected-open-to-change/
  • While marriage is important to millenials, many are getting married at a later age than other generations
    http://www.pewsocialtrends.org/2010/02/24/millennials-confident-connected-open-to-change/
  • http://www.pewsocialtrends.org/2010/02/24/millennials-confident-connected-open-to-change/
  • There are going to be some people who are going to be risk takers and here is what we would say to them
    The risk-taker audience segment is defined by individuals 18-34 years old; more likely male; single; employed; White; more willing to take risks financially; incomes in 400% FPL+ range;
    Reference: Getting California Covered: Qualitative Study of Uninsured and Individually Insured Californians (p.37, table 31) and Informing Enroll America’s Campaign: Findings From a National Survey. Conducted by Lake Research Partners. November, 2012. Catastrophic plans- these plans are attractive alternatives to young people who are looking for an affordable solution to health care insurance burdens. These plans cover 3 primary care visits a year and also cover all preventive care procedures. This alternative is provided to individuals who are under 30 and are unable to find a plan in the AIE that is less than 8% of their annual income. However, there is a caveat. Beyond those 3 visits, individuals will be responsible for paying the $6000 ($5960) deductible before becoming fully insured.
  • The Center for Medicare and Medicaid Services tested these messages for “motivation” and “believability”. A motivating message is one that is likely to encourage a visit to the Insurance Marketplace (exchange). A “believable” message is convincing and doesn’t sound “too good to be true”.
    . Reference: Talking About the Health Insurance Marketplace. December, 2012. http://www.cms.gov/Outreach-and-Education/Outreach/HIMarketplace/Talking-About-the-Marketplace.pdf CMS surveyed (Healthy&Young; Sick, Active and Worried; and Passive and & Unengaged.) To date, these messages have consistently tested well in all three audience segments and were most likely to encoura
  • References
    http://files.www.enrollamerica.org/best-practices-institute/public-education-resources/EA_Final_Report.pdf
  • Instead of using the word “exchange” many government agencies and organizations are using the work “Marketplace”. When preparing outreach material for young adults, be sure that single and childless adults are able to identify with your message. For example, say “Individuals may be eligible…” instead of “you and your family”.
    “Financial Assistance” is vague- let young adults know exactly how subsidies will work. Reference: http://www.cms.gov/Outreach-and-Education/Outreach/HIMarketplace/Talking-About-the-Marketplace.pdf
  • Taken from YI Factsheet: Who Needs Health Coverage in the USA? Young Adult Health Coverage
    These are 2011 number so they are a little outdated but still very similar for this year
    http://health.younginvincibles.org/wp-content/uploads/2013/08/hc_state_factsheet_usa.pdf
  • Emphasize minority women are important in reaching out to other communities of color
    http://www.dol.gov/ebsa/newsroom/fshlth5.html
    http://files.www.enrollamerica.org/best-practices-institute/public-education-resources/EA_Final_Report.pdf
    http://kaiserfamilyfoundation.files.wordpress.com/2013/11/6000-11-womens-health-insurance-coverage-factsheet1.pdf
  • Mobile websites
  • For example, Millennials who have attended college are more likely than those who have no college experience to be online, use social networking sites, watch and post video online, connect to the internet wirelessly, and send and receive text messages
    http://www.pewsocialtrends.org/files/2010/10/millennials-confident-connected-open-to-change.pdf
    Be prepared to have conversations.
    Be prepared to have information available for state/federal marketplace website/phone number/navigators
  • Mobile websites
  • “Latest News” National Research Corperation. http://hcmg.nationalresearch.com/public/News.aspx?ID=9
    www.checkfacebook.com (2011)
  • http://www.pewinternet.org/Presentations/2013/May/Young-Adults-Mobile-Phones-and-Social-Media.aspx
  • First you listen, then you engage with that population and build relationships to be a part of that conversation.
    Reference: Kanter, Beth, Allison H. Fine, and Randi Zuckerberg. The Networked Nonprofit, Connecting With Social Media To Drive Change. San Francisco: Jossey-Bass, 2012.
    These listening tools will help you see what your target audience (in our case, young adults) are saying about health care reform.
    Google Alerts: Monitors the web for any topic you choose
    RSS Readers: News aggregates help identify allies and influencers
    One good question to ask your followers is, “what is the most confusing thing about health care reform?” This can begin an online dialogue or a Q&A session on social media.
    Find the right influencer for your target audience. An “influencer” in this context is a person or organization who is widely seen as a credible voice on a certain issue. An influencer can be a prominent athlete or celebrity who shares the mission of your organization. If an influencer mentions you in any social media platform, it can give a boost to your organization. Sharing information from other advocates is a good way to build solidarity for your cause. Co-hosting a Twitterchat with a fellow advocate is one way of participating in an online conversation. You can give a shout-out to a person or organization who recognizes your issues by mentioning them on twitter or facebook.
  • RSS Readers & Google Alerts will help to see what audiences are saying about healthcare
    Google alerts monitor any topics you choose
  • Utilizing fun and informative posts
    YI Buzz Feed Article
  • Emphasizing the trust of friend’s posts on social media
    Influencer is like Lady Gaga who has millions of follower
  • Add link to twitter
    Young adults between the ages of 18-29 make up the largest population of twitter users
    (Center for Disease Control office of the Associate for Director of Communications http://www.cdc.gov/socialmedia/Tools/guidelines/pdf/SocialMediaToolkit_BM.pdf)
    Can be used to link to Facebook updates and connect with people that may not necessarily already be in your social circle.
    Can Tweet @ Influencers or other twitter followers
    RT messages from other advocates that you find interesting
    Doesn’t always have to be directly pertaining to your organization, can tweet sometimes just for fun.
  • We know that there are always people on twitter talking about Monday night football so we use that to say you know what else is happening, open enrollment!
  • Bullet 3: http://gifs-for-the-masses.tumblr.com
    http://mashable.com/2012/04/25/animated-gif-tumblrs/
  • Bullet 1-2 http://www.forbes.com/sites/work-in-progress/2013/09/05/how-to-make-your-website-mobile-friendly-on-a-budget/2/
  • Different people = (students, chronic conditions, buying your own plan)
  • YI’s next steps: developing outreach materials, toolkit will be available on HYA website, follow up webinar, frequently asked questions for both advocates and consumers
  • Transcript

    • 1. The Affordable Care Act Healthy Young America 2013: The Young Adult Perspective Nevada Webinar December 11, 2013 Cristina Rivera Young Invincibles Cristina.rivera@younginvincibles.org
    • 2. Who are Young Invincibles?
    • 3. Outline of Presentation  Overview of ACA provisions important to young adults  Methods of outreach  How to get involved
    • 4. Who Doesn’t Have Insurance?  23% of residents in Nevada lack insurance   15.4% of residents in the US lack insurance 37% of 18-34 year olds in  26.5% of 18-34 year Nevada lack insurance olds in the US lack insurance
    • 5. The ACA: What Affects Young Adults  Provisions that most affect young adults ages 18-34:        Pre-existing conditions Dependent care coverage Preventive services Student health plans Medicaid Marketplaces & tax credits Catastrophic plans  What to highlight about the ACA:  Built-in assistance  Affordable options http://www.understandinghealthreform.com/uhr-v1/images/health-care-reform.png
    • 6. Preventive Services for Adults  Immunizations  HIV & STI screenings  Alcohol misuse screening & counseling  Depression screening  Obesity screening & counseling
    • 7. Preventive Services for Women  Well-woman visits  Support for breastfeeding  Domestic violence screening and counseling  Mammograms and cervical cancer screenings  Contraception coverage
    • 8. Student Health Plans (SHPs)  Serve 1-3 million young adults  Previously limited regulations  Now subject to standardized ACA requirements  Must include preventive care benefits  Ends pre-existing condition discrimination in 2014
    • 9. Nevada Medicaid Expansion
    • 10. Catastrophic Plans  Available to:  Young adults under 30; OR  Those unable to find a plan costing less than 8% of income or with a special hardship (as determined by HHS)  What it covers:  Three primary care visits a year  Preventive services w/o co-pay or deductible  Further services, but with high deductible  CAUTION!  High Deductibles  Tax credits DO NOT apply http://blog.themistrading.com/wp-content/uploads/2012/06/lucy.jpg
    • 11. 10 Essential Health Benefits Ambulatory patient services Emergen cy services Hospitaliz ation Maternity /newbor n care Mental health and substanc e use disorder services Prescripti on drugs Rehabilit ative and habilitati ve services Laborato ry services Preventiv e and wellness services/ chronic disease manage ment Pediatric services
    • 12. Recap: The ACA Tailored for Young Adults  Young adults can stay on their parent’s insurance until 26  Student plans are now more comprehensive  Medicaid will reach new populations  Tax credits make plans affordable  Catastrophic plans are an option Picture Source: http://wymancenter.org/the-importance-of-bulking-up-the-muscle-of-perseverance/
    • 13. Outreach and Education for Young Adults Young Invincibles @YI_Care YoungInvincibles.org facebook.com/together.invincible
    • 14. Millennials Want Insurance  Myth: young adults don’t want insurance  Gallup poll: 68% will get insurance in 2014  Young adults are highly uninsured  Young adults value and want health insurance  Many don’t have it because they indicate it’s unaffordable Photo Source: http://www.commonwealthfund.org/Publications/Issue %20Briefs/2013/Aug/Covering-Young-Adults-Under-theAffordable-Care-Act.aspx
    • 15. Characteristics of Young Adults  18-34 are those born between 19791995  Largely part of the Millennial generation (born after 1980)  We are:  More ethically & racially diverse  Less likely to serve in the military  Most educated Photo source:http://www.pewsocialtrends.org/2010/02/24/millennialsconfident-connected-open-to-change/
    • 16. Interesting Facts  Nearly 4-in-10 have a tattoo  1-in-4 unaffiliated with any religion  Parenthood & marriage more important than financial success  However, 1-in-5 are married  34% are young parents  Events that shaped Millennials:  9/11  Hurricane Katrina  Election of first African American President Photo source: http://rebloggy.com/post/gif-tattoo-tattoo-gif-tattoo-gifs/33981502263 Healingbeings.org
    • 17. Technologically Wired  Technology & pop culture sets Millennials apart from other generations  Attitudes towards technology:  New technology makes life easier  Brings them closer to friends & family  4-in-10 connect to internet wirelessly  75% have a social media site  87% sleep with their cell phone on or right next to their bed Photo Source: http://www.cbc.ca/q/blog/2011/05/16/jians-essay-onone-thing-at-a-time-day/
    • 18. Overview Messaging Traditional Outreach Social Media Mobile Technology
    • 19. Messages Can be Used to Motivate “RiskTakers” Getting covered will save you money Getting covered now will help ensure financial security later Individual Mandate will require you to purchase insurance
    • 20. your find all premium, the Messages Can be Used to Motivate deductibl informati es, and on you out-ofneed pocket about costs will available be health
    • 21. Young & Uninterested  71% are uninsured (most have been for 2 years):  67% are men  40% are 18-29  Who motivates them:  Family member (spouse or mom)  Friend  Doctor  Where do they find info:  Google or search engine  Mom, then spouse Photo source: hartsbeat.com
    • 22. Use Language Cautiously Be Careful “Exchange” Here’s Why Use This Instead People think “Exchange” is a place to trade or swap merchandise and don’t immediately associate it with health care. “Marketplace” Messages that only mention “your family” Single and childless people have trouble identifying with messages exclusively about “family” “Individuals” “Financial Assistance Available” The concept needs more exploration. Many consumers think “assistance” is for someone else, not them. Research from Centers for Medicare and Medicaid Services “You may be eligible for a $0 premium plan or a new type of tax credit that lowers your monthly payment”
    • 23. Outreach to Communities of Color Nevada United States
    • 24. Women as Messengers Shouting out to:   Women make 80% of the health care decisions for American families.  Uninsured Americans mentioned important women in their life as key sources for advice on health insurance  Latina and African American mothers play a significant role in all aspects of the households  Women are more vulnerable to losing their insurance compared to men Moms • Mammas Madres • Ma Partners • Friends Grandmas Me-Mas • Abuelas
    • 25. Traditional Outreach Traditional Outreach Tabling Group Presentati ons Hosting Events Brochures and Newslette rs
    • 26. Traditional Outreach  Be prepared to have conversations & tangible information  Meeting uninsured young adults where they’re at:  Apartment complexes  Basketball courts  Classrooms  Unemployment offices  Community Colleges  Barber Shops  Grocery stores  Concerts  Bars  Laundromats  K-12 Schools (young parents)  Where else? Photo Source: suntimes.com
    • 27. Mobile Technology Mobile Technology Mobile Websites Social Media Text Message Services Mobile App
    • 28. Use Social Media as an Outreach Tool  One in five Americans have reported using social media for health information  50% of Facebook users are in the 18-34 age group  Young adults value reviews through social media when considering goods and services
    • 29. Communities of color & technology  97% use cell phone for texting  White, non Hispanic: 52%  Black, non Hispanic: 79%  Hispanic: 85%  77% access internet with their cell phones  White, non Hispanic: 52%  Black, non Hispanic: 60%  Hispanic: 66%  Use social networking sites  White, non Hispanic: 65%  Black, non-Hispanic: 68%  Hispanic: 72% Photo Source: Photo Source: http://www.forebeyondthegreen.org/3rc.html
    • 30. Use Effective Methods of Interaction List Goo enRSS gle Alert s Ask Rea ques ders tions Eng Resp ag ond e in real time Build Relati Fun onshi ID Conv and Shareps Shout inform Influe ersati info outs ative ncers ons posts
    • 31. Listen Email address
    • 32. Engage  Ask questions:  Ex: What is the most confusing thing about health insurance? “If you don’t get health insurance, you will literally be paying something for nothing.”  Respond to questions/comments in quickly  Fun and engaging posts   Think You’ll Save Money by Opting out of Obamacare? Picture Source: http://www.buzzfeed.com/younginvincibles/think-youllsave-money-by-opting-out-of-obamacare-fnsb
    • 33. Build Relationships  Find an “influencer” to share information  Sharing stories and/or information to educate friends on social media  Jesse's Story  Getting the Big Picture on Affordable Health Care  Flirting with Death Photo source: getcoveredamerica.org Video Source (top – bottom): http://www.getcoveredamerica.org/jesse/ https://www.youtube.com/watch?v=I9rtZc5ZMC8 https://www.youtube.com/watch?v=1ktqTO1Wibo
    • 34. Mobile Anatomy Twitter Technology Twitter handle Embedded links #Hashtags Share via email Retweet Favorite YI Twitter for Health Advocates Toolkit
    • 35. Trending topics Monday Night Football
    • 36. Social Media and Engaged Audiences Social media is a great way to specific audiences who are already engaged on an issue Ex. Monday Night Football #MNF #GetCovered
    • 37. How to create a Meme  Memes are usually images with a brief universal message  Memes can either be funny or have a political or socially conscious message  Can be created using sites like Meme Generator and Adobe Photoshop and Illustrator
    • 38. GIFs aka Graphics Interchange Format  Gifs are also known as .Gifs are "Graphics Interchange Format” - Picture Format  Websites and Tumblr pages with easy to share Gifs  Mashable Top Gifs Tumblr pages  Gif for the Masses
    • 39. Anatomy of an eblast Strong Heading Relevant Image Concise and powerful messaging Organization name and logo Social Media link Clear “Ask”
    • 40. Elements of a E blasts  Include a captivating subject line  This will ensure subscribers open your e-blast  Balance the amount of text and images  Be sure to create a concise message that clearly displays asks and engages subscribers  Link social media pages  This will help improve your click rate  Create a simple and mobile friendly layout  Millions of people use their cell phones to check their emails daily  Be sure to review the results  Compare your click and open rates to the industry average in order accurately gauge the success of your campaign
    • 41. Mobile Friendly Technology  It is extremely important to make mobile friendly content  Now more than ever people use their cell phones to browse the internet and check emails  As of May 2013, 63% of adult cell owners use their phones to go online.  Over 52% of cell phone owners use their phones to receive and check emails  Two ways you can use mobile technology to connect with young adults  Mobile sites  E blasts
    • 42. Mobile Website  Unfriendly mobile websites can be difficult for smartphone users to display and navigate your page  For many underserved populations, smartphones serve as theirs means to access the internet  It is relatively affordable to create or convert your current website into a mobile-friendly site.  You can use tools like Mobify, Mofuse,  MobiSiteGalore and Wirenode. Photo Source: getlocalgetlisted.com
    • 43. Young Invincibles Mobile App: Your Health Care Finder  Find doctors and Community Health Centers in your area  Search by location with GPS or zip code  Search by name or category  Shows user ratings of doctors in the area
    • 44. Your Questions Answered  How to find health insurance for different people  Explains the health care law  Defines common health insurance terms  Discount calculator  Your Health Care Finder
    • 45. A National Campaign to Cover Young Adults Health.younginvincibles.org  Calendar of Upcoming Trainings  Download our App: “Your Health Care Finder”  State-by-State Fact Sheets  FAQs: Answers for Consumers and Advocates  Outreach Materials  Webinars  Toolkits
    • 46. Keep in Touch Like us on Facebook Follow us @YI_Care http://health.younginvincibles.org/ Contact Information: Cristina Rivera Cristina.Rivera@younginvincibles.org