The document discusses Arizona's efforts to implement the Affordable Care Act. It notes that Arizona had 948,000 uninsured residents and established a federally facilitated marketplace and state Medicaid system. A community group called Cover Arizona was formed to help educate the public and assist with enrollment. The document provides statistics on enrollment results and issues faced such as website problems. It also summarizes the efforts of El Rio Community Health Center to assist people with enrollment and how this impacted its patients.

1. Cover Arizona
Kathy Byrne
April 2014

3. Arizona
948,000 Uninsured (estimated)
Federally Facilitated Marketplace
State Medicaid Web-based System (HEA Plus)
Governor/Legislature agreed to restore and
expand Medicaid coverage

4. Arizona Medicaid Income Eligibility

5. How Arizona Organized
5

6. www.coveraz.org
Equipping organizations for action.
New Website

7. Equipping organizations for action.
Cover Arizona Goals
Provide timely and accurate information for
stakeholders
Facilitate coordination of events and information
Help community groups prepare to inform and
educate their “community”
Connect those who inform with those who can
assist with enrollment

8. Demographic & Geographic Workgroups
Low Income
Families with
Kids
Young
Adults
Ages 18-34
Diversity
Latinos and
ethnic minorities
Older Adults
Ages 50-64
Community
Health
Centers
Hospitals Behavioral Health
Providers &
Consumers
People with
Chronic
Health
Conditions
Small
Businesses
Central Arizona Southern Arizona Western Arizona Northern Arizona
Other
Providers

9. El Rio Community Health Center
Statewide (AACHC) Navigator grant
Added 1 Navigator and 6 Certified Application
Counselors
Trained and certified 27 staff members in total
Identified 19,000 potential patients for inreach

10. Arizona Marketplace Results
October 2013 – March 2014
Arizona 109,336 103.6% of Federal Goal
Phoenix/Tucson 93,358 127.9% of Federal Goal

11. Arizona Marketplace Results
24% covered by Marketplace product or Medicaid
18% of AZ Marketplace were under age 18
72% of AZ Marketplace received financial
assistance
Higher % selected gold and platinum plans

12. Arizona Medicaid Results
12/01/13 4/01/14 Change
Prop 204 Restoration 67,770 180,693 112,923
Adult Expansion - 14,000 14,000
KidsCare 46,761 2,098 (44,663)
Family Planning 5,105 - (5,105)
AHCCCS for Families &
Children (1931)
672,135 675,607 3,472
All Other 505,379 544,542 39,163
Total Enrollment 1,297,150 1,416,940 119,790

13. Issues We Faced
Major website(s) downtime
Loopers (30,000-60,000)
Delay in Spanish version of Federal website
Too many options – Tucson had over 100 choices
Poor coverage of rural areas
Consumer frustration

14. El Rio Activity
October 2013 – March 2014
Persons Applying/Initiating a Marketplace Account 963*
Persons Applying via HEA Plus 15,711
Persons Assisted 30,500
* Many more came in for assistance

15. What Worked at El Rio
Appointments including evenings
Saturday hours
Buddy system for assisters
One works with appointment while the second catches up
with website applications or walk-ins
100% Bilingual staff
Navigator was “in-house” expert
Key contacts at AHCCCS and Federal level
Partnership for outreach events/learning

16. Some Early El Rio Results

17. Impact of ACA on All Patients
Year End 2013 vs. 1st Quarter 2014
Medicaid Sliding Fee Commercial Medicare
2013 43.7% 31.0% 15.8% 9.5%
1Q14 49.0% 22.4% 16.2% 12.3%
0%
10%
20%
30%
40%
50%
60%
% ↓/↑ +5.3% -8.6% +0.4% +2.8%

18. Impact of ACA on SIA Patients
Year End 2013 vs. 1st Quarter 2014
Medicaid Medicare Private
No
Insurance
Other
Public*
Other
2013 24.0% 28.7% 25.3% 13.2% 7.9% 0.8%
1Q14 30.7% 28.9% 24.7% 10.2% 3.0% 2.6%
0%
5%
10%
15%
20%
25%
30%
35%
% ↓/↑ +6.7% +0.2% -0.7% -3.0% -5.0% +1.8%
* e.g. Champus, VA

19. Work and Prep the Next Cycle
Greater training on immigration related scenarios
(split families)
Find better cheat sheets for folks analyzing
insurance options
Continuing work with those eligible including
American Indians and Medicaid eligible
Creating an FAQ document for use by CACs
Reminding patients to pay premiums

21. Thank you!
Name: Kathy Byrne
Email: KathyB@elrio.org
Phone: (520) 309-3941