What Does it Take to Make Enrollment Efforts Permanent?

© 2016 Enroll America | StateOfEnrollment.org
How to Make Enrollment Efforts
Permanent

Goals for this session:
• Identify organizations in your community where
health insurance enrollment is a regular
practice
• What are the shared benefits for this practice
that can be applied to other organizations?
• A list of steps you can take to begin building
institutional partnerships in your community
How to Make Enrollment Efforts Permanent
2

What does “institutionalization” of
health insurance enrollment mean?
3

Small Group Breakouts
• Introductions
• What did you come to learn today?
• Where is health insurance enrollment a
permanent or “routine” practice in your
community?
4

Partnerships in Three Communities
• Hospital and Faith Community
Partnership
• Criminal Justice Community
Partnership
• School Community Partnership
5

Vincent DeMarco, President, Maryland Citizens Health Initiative
Maryland Faith Community Health
Network

Maryland Faith Community Health Network
• 3 Lifebridge Hospitals provide staff navigators who connect
hospitalized congregation members to volunteer liaisons in faith
community
• Congregation liaisons in 50 faith communities coordinate
support services such as pet care, picking up prescriptions,
home meals
• Congregation liaisons and hospital navigators collaborate in
preventive health programs including health insurance
enrollment
• Maryland Faith Community Health Network facilitates training
for Congregation liaisons and evaluates pilot program
A Hospital and Faith Community Partnership
7

How did the Maryland Faith Community
Health Network Get Started?
 Our organization, the Maryland Citizens’ Health Initiative
Education Fund started this process in Maryland
 We reached out to state and local faith leaders and key
hospital population health leaders
 Maryland hospitals wanted to see the project work in
Maryland so MCHI started a pilot with LifeBridge Health
 The Maryland Citizens’ Health Initiative Education Fund
has been the primary force keeping this project going
8

Shared Benefits for the Hospitals and Faith
Community
 Helps faith communities serve their congregations
 Improves care coordination for hospitalized patients
 Reduces number of patients who return to the
hospital because of lack of care at home
 Helps hospitals and providers get to know needs of
the community
9

How to Establish a Similar Program in Your
Community
 Start with a Pilot program in one hospital
 Reach out to key local faith leaders early to get their
buy in, input and support
 Keep a dialogue going between the faith leaders
and the hospital leaders as issues come up- as they
will!
10

Vincent Demarco
President ,
Maryland Citizens’ Health Initiative
2600 St. Paul Street
Baltimore, MD 21218
(410)235-9000
Demarco@mdinitiative.Org
www.Healthcareforall.Com
11

David M. Young, Community Health Specialist, Extension and College of
Nursing, MSU
Making Enrollment Efforts Permanent
in the Criminal Justice Community

Preparing Incarcerated Inmates for
Reentry into the Community
• Work with the Reentry Coordinator on their
application for health insurance coverage
• Make application to one or two reentry programs:
– Fresh Start
– TEAM Mentoring
• Review curricula on computers on:
– Health Literacy
– Health Insurance Literacy
13

Educating and Enrolling the Justice
Involved Population - Background
• 2009 – 2010 launched a multi-disciplinary community-
based Reentry Task Force, formulated a strategic slan with
mission, vision, goals & objectives, created website.
• 2011 – 2013 received grants to improve health literacy, self-
care management, and health insurance literacy.
• 2015 – state legislature and governor approved Medicaid
Expansion and CMS approved Medicaid waiver
• 2016 – enrollment began under Medicaid Expansion
14

Key Stakeholders Involved
• Detention Center (jail)
• Sheriff’s Office & Police Department
• County Commissioners
• County Health Department
• Community Health Center (FQHC)
• Mental Health Center
• County Attorney, Court Services & Judges
• Probation/Parole (community corrections)
15

Shared Benefits for the Criminal
Justice Community
• Improved health and well-being of the justice-
involved population
• Improved continuum of care in community
• Reduced health care costs for county and state
government (i.e., Medicaid Admin Claiming)
• Reduced recidivism rates
• Improved community health & public safety
• Increased numbers of healthy, productive, law-
abiding, contributing citizens
16

How to Establish a Program in Your
Community
• Organize a multi-disciplinary community-based
task force or committee with a shared vision
• Develop a strategic plan with goals and objectives
– Decide on intercept point for enrollment
http://static.nicic.gov/UserShared/2014-06-19_nic_decisionmap.pdf
• Recruit buy-in from key community stakeholders
– Office of Sheriff and Jail Program Director
– Community Health Center/County Health Department
– Courts and county corrections officials (P&P)

Lessons Learned
• Multiple county and state agencies are involved in the
criminal justice system; politics and turf issues exist
• The Affordable Care Act (ACA) is a major game changer for
the justice-involved population
• Continuum of care for returning citizens is critical in reducing
recidivism, improving public health & safety
• Factors impacting health insurance coverage for inmates
– Medicaid expansion
– Medicaid suspension/termination upon arrest
• Important interventions while incarcerated –health literacy,
health insurance literacy & relationship education
18

David M. Young,
Community Health Specialist
Research Professor, College of Nursing
Culbertson Hall, Room 235B
Bozeman, MT 59717-2230
(406) 994-5552
dyoung@montana.edu
19
http://msucommunityresources.org/
http://gallatincomt.virtualtownhall.net/Public_Documents/GallatinCoMT_CJC
C_Recid/cjcchp

Kristelle Jose, All IN For Health Campaign Senior Outreach Associate
Making Enrollment Efforts Permanent
in Schools

The Children’s Partnership: All In For Health
Outreach and Education to Families with School-
Aged Children, Pre-K through Secondary Education
 Engage education leaders
 Equip schools and early learning centers with
information and materials they need to help families
 Develop materials specific for the school community
 Certified enrollment counselors help families enroll into
various health coverage plans by receiving referrals or
on-site enrollment
21

Engaging the School Community
 Get recommendations from trusted partners, call and emails
educators and district leaders
 Suggest ways schools can help: host health enrollment event,
distribute outreach materials, place robocall scripts, & include health
coverage information in weekly/monthly newsletters
 Offer pre-printed and tailored materials
 Engage other (community-based) groups such as school-based
health centers, after-school networks, etc.
 Lesson learned: it takes time to build relationships with schools and it
takes time for them to engage; some schools may not have capacity
 Continue the conversation. Provide regular updates relating to health
coverage (like key dates & new policies that effect children)- empower
educators to be advocates
22

Shared Benefits for the Education Community
 Improved health and school attendance school
children
 Reduced health care costs for county and state
governments
 Improved health equity
 Improved community health
 Broader understanding of health
23

How to Establish a Similar Program in Your
Community
 Start statewide – connect with the department of
education, school boards association, association of
administrators, school nurses organization, PTA, etc.
 Understand schools’ priorities and capacities, provide
technical assistance, & enlist trusted partners
 Provide materials and assistance to increase
engagement,
 Keep education leaders engaged & repeat the message
at every level
24

Kristelle Jose
Senior Outreach Associate
All In For Health Campaign
The Children’s Partnership
1351 Third Street Promenade, Suite 206
Santa Monica, CA 90401
PH: (310) 260-1220
kjose@childrenspartnership.org
www.allinforhealth.org
25

Questions?
• What common themes do we see in
these programs?
• What makes these institutional
partnerships work?
26

Small Group Breakout 2:
• What opportunities exist in your community to
build upon or implement a new collaborative
partnership?
• What will the shared benefits look like from
both sides of the partnership?
• Who will you engage in the conversation?
• How do you start the conversation?
• What is a step you can take now?
27

Debrief and Next Steps
28

What Does it Take to Make Enrollment Efforts Permanent?

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