Outreach, Enrollment, Retention and Utilization
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Presented at Enroll America's 2016 State of Enrollment conference.
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Outreach, Enrollment, Retention and Utilization
- 1. ยฉ 2016 Enroll America | StateOfEnrollment.org Edgar Aguilar, Program Manager - Community Health Initiative of Kern County Elba Gonzalez-Marez, Executive Director - Community Health Initiative Napa County --members of California Coverage and Health Initiatives (CCHI) Outreach, Enrollment, Retention & Utilization
- 3. CCHI is a statewide association of community based outreach and enrollment organizations whose focus is helping children and families access affordable, quality health coverage and care. CCHI was created in 2007 to provide an advocacy voice and support to the Community Health Initiatives (CHIs) in their missions.
- 4. ๏ The Childrenโs Health Initiative (CHI) movement began in 2001 as a way to provide low-cost health insurance to all children. ๏ Creation of a local insurance product called Healthy Kids. Healthy Kids covered children who were not eligible for public programs. ๏ An aggressive campaign to enroll children into public programs.
- 5. CHIs are local, community-based collaboratives CHIs are local, community-based collaboratives whose mission is ensuring everyone receives comprehensive health coverage. CHIs are, for the most part, non-profit organizations that are county-based, public-private partnerships.
- 6. OERU
- 7. OUTREACH
- 8. Outreach ๏ Partnerships ๏ 100% Enrollment Campaign โ Napa County school districts ๏ Staff at local HHS Social Services office ๏ Coordination of Outreach Activities and Messaging ๏ Promotoras
- 9. ENROLLMENT
- 10. Enrollment ๏ Enrollment events ๏ Partnerships ๏ Bilingual, bicultural, licensed insurance agents and Certified Application Assistants ๏ Satellite offices
- 11. RETENTION
- 12. Retention โข Continue developing the relationship. โข Client check-in/Survey โข Reminder letters โข Reminder phone calls
- 13. UTILIZATION
- 14. Utilization Helping the individual to secure a medical home, dental and vision services-at a local level. ๏ Lead and teach our families ๏ Increase retention
- 16. Contact information Edgar Aguilar Program Manager Community Health Initiative of Kern County Edgar.Aguilar@DignityHealth.org Twitter FB other? Elba Gonzalez-Mares Executive Director Community Health Initiative Napa County Elbagonzalez@napachi.org Twitter FB other?
Editor's Notes
- Whoโs in the room? What would you like to take from this session?
- At the height of the CHI movement, there were 28 Childrenโs Health Initiatives operating in 30 counties, 21 of which provided a Healthy Kids product and several others provided a California Kidsย product.
- Are goal is to improve community health. 1) Reform and streamline existing enrollment systems in Medi-Cal and Covered California and other programs 2) Maximize enrollment into existing health coverage programs. 3) Advocate for consumers and help them make the most from their coverage. We accomplish these goals through OERU
- Partnerships 1. Examples of partnerships: MOUs 2. Presentations for providers-educating on-the โground staff about CHI services 3. Close partnership with Social Services/Health and Human Services offices โMedi-Cal eligibility workers 4. Close partnership with County Board of Supervisors 5. Close partnership with funders and x, y, z. Coordination Through OERUC, partner agencies share plans for outreach and identify gaps. Collaboration in reaching the entire population or providing better service. BCSD informational mailing was enhanced by including contact phone numbers in case parents had questions. Messaging โIโm Coveredโ. โHealth4AllNinosโ. Same flyer, wording. Interviews. Promotoras Promotoras work with CHI to canvass and offer presentations. They have been successful in recruiting volunteers (other Promotoras) to help with this effort. AUDIENCE PARTICIPATION: How would this look in your community? What are you currently doing? Outreach is used to encourage people to move to the next stepโฆ enrollment
- Many outreach events are followed by enrollment events in the same neighborhood where outreach took place. To maximize our resources we follow this format: Presentation, pre-screen sheet, follow-up phone call, enrollment event. Same process used for canvassing or other outreach. Partnering with agencies who serve those with emergency medical needs: CBCC, CCS, HIV/AIDS AUDIENCE PARTICIPATION: How would this look in your community? What are you currently doing? Enrollment is only the beginningโฆ and it is much more cost-effective to help someone retain coverage than to help re-enroll. Also, people who have been continuously enrolled are more likely to utilize servicesโฆ retention
- Most CHIs conduct surveys with their clients... All surveys look different but all with the objective to assure enrollment in coverage. Received cards? Chose PCP? Experienced barriers? Questions? Advocate! Client utilization survey at 3 months. Distributed to partners. Online system guides user through questions to ask based on clients response. Retention is closely connected to utilization
- Path to to Good Health Booklet, CUS