Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum

© 2015 Enroll America and Get Covered America
EnrollAmerica.org | GetCoveredAmerica.org
Using Coalitions to Reach the
Uninsured
Strategies to Expand Capacity and Build
Momentum

COVER ARIZONA:
A Statewide Stakeholder
Coalition
Allen Gjersvig, Director Healthcare Innovation,
Arizona Alliance for Community Health Centers | 6.12.15

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

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

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

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

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

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

•  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

coveraz.org

Allen Gjersvig
Director of Healthcare Innovation
Arizona Alliance for Community Health Centers
Phone: 602-288-7544
Email: alleng@aachc.org

Porsche L. Blount, Mobile Field Navigator, Enroll Alabama | 6.12.15
TARGETED OUTREACH:
Using Data Analysis to Shape
Coalition Efforts in Rural
Communities

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

•  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

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

Coalition Objectives for OE2
•  Increase enrollment
•  Expand outreach efforts
•  Focus on rural/underserved areas
•  Establish an efficient statewide
operation

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

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%)

•  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

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

Outcomes
•  Within a matter of weeks, outreach was underway
•  Outreach & enrollment activities in hard to reach
communities
•  Created ongoing relationships between assisters &
churches

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

Porsche Blount
Mobile Field Navigator
Enroll Alabama
Phone: 251-471-5277 ext. 6110
Email: enrollmobile@gmail.com

Eric Savaiano, Statewide Coordinator, Enroll Nebraska | 6.12.15
A SUCCESSFUL
COALITION CAMPAIGN:
500 and 1500 by 15th
Campaigns

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

•  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

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

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

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

“How did you hear about us?”
0
20
40
60
80
100
120
140
Midpoint Final

1. Expand coalition to maximize
referrals
2. Continued interest in participation
as a state
3. Positive sense of competition
among assisters
Impact of Campaign

Celebrate!
•  Celebration webinar
•  Mailed out gift cards / swag
•  Outstanding assisters
•  Special guests
•  Make videos
•  It’s fun to watch
others have fun
Best Practices

Eric Savaiano
Enroll Nebraska Statewide Coordinator
Nebraska Appleseed
Phone: 402-438-8853 ext. 126
Email: esavaiano@neappleseed.org

Questions??

Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum

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