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Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum
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Presented at Enroll America's 2015 State of Enrollment conference.
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Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Using Coalitions to Reach the Uninsured Strategies to Expand Capacity and Build Momentum
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org COVER ARIZONA: A Statewide Stakeholder Coalition Allen Gjersvig, Director Healthcare Innovation, Arizona Alliance for Community Health Centers | 6.12.15
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Big Tent – Diverse Stakeholders • Statewide coalition • Started in 2010 due to a Medicaid freeze • Evolved after OE 1, more structured during OE 2 • Getting ready for OE 3 • 900 stakeholders • FFM state with Medicaid expansion
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org4 Evolving Role Cooperation • Hospitals, Community Health Centers, NAVs, CACs, IPAs, advocates, faith-based etc. • Shared consistent messaging Coordination • Consumer facing website • Assister and Outreach resources • Connector & one phone # for statewide scheduling • Events - statewide listing Collaboration • Joint events, many partners • Media relations, local spokespeople • Creating shared resources/materials
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org5 Organization Statewide Steering Committee Four regions and regional leads. Monthly statewide webinar, monthly committee meetings. Overall strategy, direction and goals. Decisions by consensus. Minimal conflict. Assister Training and Events • Training to complement CMS • Event planning and coordination Consumer Education • What do they need to know • Insurance literacy Marketing Communication • Messaging • Earned media & Social media Policy Issues • Tracking state and national issues • Developing contingencies
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org6 Specific Examples Assister Training and Event Committee • OE2 & 3 – 2 day Assister training held in 4 cities, collaboration with Region IX HHS • Used Enroll Am. data to find where more Assisters are needed • Selected 4 dates for statewide OE3 enrollment events Consumer Education Committee • Reviewed current posted resources/materials • Planning OE3 Insurance Literacy Summit for a very broad audience • Developing improved QHP plan and provider network information
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Key Stakeholders National • Data to locate the uninsured • Grass roots organizing for informing consumers St. Luke’s Health Initiatives • Neutral 3rd Party Convener • Website, Messaging & Media relations Statewide & Local Assister Network • More than 50% of Licensed Navigators and Counselors • 400 locations for consumers
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org8 One Consistent OE2 Message • Consistent message used statewide by members • Used in presentations, media interviews and conversations • Used in materials and ads • Consistency is a “force-multiplier” because of repetition
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org • Coalitions are messy • Find a strong & knowledgeable neutral convener • Define the goals & role of the coalition; this will help reduce the “tension” among members • Discuss what the coalition can do better than individual members and what members can do better on their own • Consensus = Courtesy; Voting = Winners & Losers • Consistent messaging & statewide scheduling adds value Path Forward
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org coveraz.org
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Allen Gjersvig Director of Healthcare Innovation Arizona Alliance for Community Health Centers Phone: 602-288-7544 Email: alleng@aachc.org
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Porsche L. Blount, Mobile Field Navigator, Enroll Alabama | 6.12.15 TARGETED OUTREACH: Using Data Analysis to Shape Coalition Efforts in Rural Communities
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org13 Using Data/Rural Communities Presentation Overview ● Organizational Structure ● Coalition Structure & Objectives ● Coalition’s Use of Data to Shape Objectives ● Plan of Action ● Results & Future Plans
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org • One of two Federal Navigator Organizations in Alabama • Mobile Office services nine counties in Southwest Alabama 14 Section 1: Enrolling your family • Eight satellite offices servicing 67 Alabama counties Follow Us: Facebook: Facebook.com/Enroll Alabama Twitter: Twitter.com/Enroll Alabama YouTube: YouTube.com/EnrollAlabama Instagram: Instagram.com/EnrollAlabama For more information about Enroll Alabama, including upcoming events, frequently asked questions, and more, visit EnrollAlabama.com Enroll Alabama Coalition
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org15 Alabama Outreach & Enrollment Coalition • Led by Arise Citizens’ Policy Project • Consists of Navigator/CAC assister organizations, faith-based organizations, community organizations, and more • Bi-Weekly Conference Calls • Weekly during OE • Statewide summit twice a year • Emails among the coalition, as needed
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org16 Coalition Objectives for OE2 • Increase enrollment • Expand outreach efforts • Focus on rural/underserved areas • Establish an efficient statewide operation
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org17 OE1 Data Analysis • Doug Hoffman of Engage Alabama compared census income data with OE1 enrollment data • Information was examined per zip code • Divided the number enrolled in OE1 by the uninsured population over 138% of FPL • Coalition was aware of gaps in data
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org18 OE1 Data Analysis • Raw data from zip codes was grouped by county • “Average enrollment” calculated for each county • Coalition chose five counties with lowest average enrollment: • Lawrence (22%) • Cleburne (22%) • Bibb (23%) • Covington (21%) • Escambia (17%)
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org • Target counties divided into regions • Active assister organizations identified in each region • But how to implement? Partnerships Already Underway Hospital coalition was being formed across Alabama Library partnerships were proving VERY effective in metro areas Building Plan from Data Analysis
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Partnerships Already Underway Hospital coalition was being formed across Alabama Library partnerships were proving VERY effective in metro areas Plan of Action following Data Analysis • Faith-based community • Minister Geraldine Moore, National Faith- Based Mobilization Network • Contacted Alabama Baptist Association Coalition (Plans event, point of contact) Churches (Provide location, publicize event) Assisters (Manpower, education, enrollment) Network Established
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org21 Outcomes • Within a matter of weeks, outreach was underway • Outreach & enrollment activities in hard to reach communities • Created ongoing relationships between assisters & churches
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org22 Looking Ahead ● Establishing relationships with churches in other low enrollment counties ● Start OE3 in rural areas, allowing for greater impact of outreach efforts ● Prepared to adjust strategy based on new data
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Porsche Blount Mobile Field Navigator Enroll Alabama Phone: 251-471-5277 ext. 6110 Email: enrollmobile@gmail.com
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Eric Savaiano, Statewide Coordinator, Enroll Nebraska | 6.12.15 A SUCCESSFUL COALITION CAMPAIGN: 500 and 1500 by 15th Campaigns
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org25 Enroll Nebraska Background • Nebraska: • Not yet a Medicaid expansion state, FFM State • Population: 1.8 million • Enrolled in OE1: 43k people • Enrolled in OE2: 74k people • Statewide Network of community organizations, in-person assisters, health care providers and advocacy groups in Nebraska • Active in outreach, education and collaboration around the ACA – not direct enrollment assistance
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org • Objectives: • Strengthen coalition • Gain positive media attention for ACA and enrollers • Bring assisters together • Strategy: • Statewide “2 Weeks of Action” in December and February “500 and 1500 by the 15th Campaigns” December 1-15, 2015
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Developed materials • Organization pledge • 2 data collection sheets • Branding • Training Created web-based landing page • www.enroll-ne.org/1500 • Extended hours • Enrollment events Campaign Tactics
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Earned media • Press release • State Senator • Senatorial newsletters • Video Social media • Created hashtag: #500by15th • Wrote sample tweets for each day Media Strategy State Senator Jeremy Nordquist Example: Almost out of time, check out the events going on around Nebraska to help you get enrolled! http://enroll-ne.org/1500 #1500by15th https://vimeo.com/113728367
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org29 Results 500 by the 15th Dec 1-15 • 893 enrolled or renewed • Participating organizations • Number of new enrollments • Number of renewals • Number of people who attended events • Number of commitment cards signed • Number of appointments made • Number of earned media hits • Number of unique social media #hashtag hits • Number of unique visitors to website • Extended operating hours 1500 by the 15th Feb 1-15 • 1506 enrolled or renewed Data Collection Points
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org “How did you hear about us?” 0 20 40 60 80 100 120 140 Midpoint Final
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org 1. Expand coalition to maximize referrals 2. Continued interest in participation as a state 3. Positive sense of competition among assisters Impact of Campaign
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Celebrate! • Celebration webinar • Mailed out gift cards / swag • Outstanding assisters • Special guests • Make videos • It’s fun to watch others have fun Best Practices
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Eric Savaiano Enroll Nebraska Statewide Coordinator Nebraska Appleseed Phone: 402-438-8853 ext. 126 Email: esavaiano@neappleseed.org
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© 2015 Enroll
America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Questions??
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