Health Coverage The 20132014 Opportunity Delivering on the promise 2 of affordable health coverage for millions of Americans 3 starts now 259 days until October 1 2013 ID: 776328
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Slide1
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Connecting Millions of Americans with
Health Coverage:
The 2013-2014 Opportunity
Slide2Delivering on the promise…
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Slide3…of affordable health coverage for millions of Americans…
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Slide4…starts now.259 days until October 1, 2013.
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Slide5Health Coverage in 2014
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Income as a percent of the federal poverty level
0 133 400+
Coverage Options for Adults without Medicare
or Employer-Based Coverage
An Opportunity for a Complete Continuum of Coverage
Slide6The Enrollment Opportunity
All States
Expand Medicaid
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49 Million Total Nonelderly Uninsured
Slide7Enrollment isn’t a snap
ProgramPercent of Eligible People EnrolledAdult Medicaid, national average62%Subsidized Medicare for low-income seniors33%Medicare Rx benefit low-income subsidy, 2009*40%Unemployment benefits72-83%Earned income tax credit80-86%SNAP (food stamps)54-71%
* Does not include populations automatically enrolled in the low-income subsidy.
Take-up in optional public benefit programs
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Slide8Children’s Health Coverage
Mainly private sector outreach via RWJF’s Covering Kids & Families project $141 million between 1997-200685% of eligible children now enrolled
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Slide9Medicare Part D
Active leadership from White House and Administration$1.5 billion administrative fund22.5 million enrolled during first open enrollment (Nov. 2005 – May 2006)
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Slide10Limited Public Awareness
The majority of uninsured Americans don’t know the health reform law will help them
78%
of the uninsured don’t know about the new health insurance exchanges
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83%
o
f people who could be eligible for the new Medicaid expansion don’t
know about
it
Slide11Enroll America
We will continue:
Building coalitionsSharing best practicesComing soon: a major enrollment campaign, using cutting-edge engagement strategies
Our MissionEnsure that all Americans get enrolled – and stay enrolled – in health coverage.
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Slide12How will people
APPLY
for coverage?Online? By phone? On paper?Available in the right languages?Written in plain language?Accessible for people with disabilities?
What SYSTEMS will need to be developed to make it possible?Consumer-friendly “front end”“Back end” systems that are coordinated between Medicaid, the Exchange, CHIP, other programsConnections with data that can help prove eligibility
What ASSISTANCE will they need?Understanding the application and eligibility processCounseling on tax credit decisionsHelp choosing a plan and learning how to use it
How can people KEEP coverage once they’ve got it?Data-driven renewalNo need to return formsOpportunities to update information and change coverage as circumstances change
Slide13Sampling of Partners
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Slide14Working together: We all play a role in a successful enrollment effort
Insurers
Hospitals
Consumer groups
Retailers
Community Health Centers
Grassroots volunteers
Civic Groups
Labor
Communities of Color
Faith-based groups
Business
Drug Companies
Slide15Race/EthnicityPercent of UninsuredUninsured RateWhite (non-Hispanic)45%13%Black (non-Hispanic)15%21%Hispanic32%32%Asian/Pacific Islander5%18%American Indian/Alaska Native1%27%Two or More Races2%15%
A Diverse Group
Source: Kaiser Commission on Medicaid and the Uninsured, October 2012
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Slide16Where are the Uninsured?
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Slide17What kind of exchange are states likely to have?
Alaska: [119,700]
Hawaii: [90,900]
Partnership exchange likely
State exchange likely
Rejected state based exchange
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7 million
6.1 million
3.9 million
2.7 million
1.9
million
1.8
million
1.6 million
1.5 million
1.3 million
1.2 million
1.2 million
1.2 million
1 million
927,700
852,600
526,300
550,700
733,000
655,000
855,600
838,100
242,400
341,200
636,200
350,000
214,800
503,800
459,100
104,500
73,800
87,500
686,600*
160,300
388,300
544,800
633,000*
880,200
260,200
417,000
759,000
124,700
57,800
130,800
104,600
737,000*
320,000*
119,000
378,000*
Note: Numbers provided are non-elderly uninsured, based on the Census Bureau’s Current Population Survey (2010-2011 two-year merge). Asterisked states have obtained HHS’s conditional approval for their state-based exchange.
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States that have rejected a state based exchange have until February 15, 2013 to decide whether to operate a partnership exchange or default to a federally facilitated exchange .
As of January 16, 2013
Slide18Building an Effective Campaign
Grassroots field efforts
Creative use of social media
National and local surrogates
Education & engagement through partner entities with direct reach to target populations
Earned media events and Activities in communities to magnify messaging
Enrollment assistance by trusted community sources
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Paid advertising on TV, radio online, and in print media
Paid advertising on TV, radio, online, and in print media
Data, Analytics, Microtargeting
Constituency engagement
Strategic Partnerships
Slide19Grounded in Research
The most effective messages to reach target groupsThe best messengers for these communicationsThe best ways to deliver these messages (e.g. television, radio, social media, etc.)?
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Slide20Research Design
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Slide21Some Key Findings
Universal
value of insurance
Cost and
affordability
are biggest barriers
Universal messages
surrounding exchanges
Deep
skepticism
among consumers
Previous bad experience
Too good to be true
Insurance is
confusing
Latinos
vastly overrepresented among uninsured
Everyone
wants help
enrolling in coverage
Slide22Targeting Messages
Slide23Help, I Need Somebody!
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Slide24Public Education Resources
More Information On:Exchange branding researchPublic opinion pollingStatewide marketing and outreach plans
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Slide25Questions?
Rachel Klein
Executive Director
Enroll America
RachelK
@enrollamerica.org
202-737-6340