the local health department’s role in healthcare reform in washington state lauren ho, mph, ches...
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The Local Health Department’s Role in Healthcare Reform in Washington State
Lauren Ho, MPH, CHESPublic Health Associate
Office for State, Tribal, Local and Territorial SupportCenters for Disease Control and Prevention
2015 PHAP Summer SeminarJune 2nd , 2015
Centers for Disease Control and Prevention
Office for State, Tribal, Local and Territorial Support
The Affordable Care Act
Enacted into law in 2010 Two key goals
Expand health care coverage to uninsured Slow Down the rising cost of health care
Expands Coverage Individual Mandate Expands Medicaid (Washington Apple Health) Advanced premium tax credits
Figure 1.0 taken from http://kff.org/health-reform/state-indicator/state-health-insurance-marketplace-types/#map
Lead Organization Service Areas
Figure 2.0 taken from www.wabexchange.org.
Affordable Care Act ImplementationLead Organization Model in WA
Build local network of community-based organizations Focus on target population Comprehensive work plan
Train Assisters within service area County-wide mapped outreach plan Financial agent for network partners Performance monitoring Reporting
Figure 3.0 taken from www.wahealthplanfinder.org. Figure 4.0 taken from www.hca.wa.gov. Figure 5.0 taken from www.tpchd.org.
Pierce County, Washington
One million uninsured in Washington State
100,000 in Pierce county
30,000 eligible for Medicaid Expansion
A quarter of the population needed enrollment assistance
90 percent of newly insured received financial assistance
Figure 6.0 taken from www.tpchd.org.
Target Populations in Pierce County
Barriers to Enrollment
Limited health literacy
Minimal English-language proficiency
Inadequate access points for insurance enrollments
Pierce County IPA Network Partnerships with 15 community-based organizations (CBOs) Coordinate outreach, education and enrollment assistance Trained, certified assisters will provide one-on-one support In-Person Assister Role
Tailored support with cultural, linguistic, disability or other special needs
Assist, explain, confirm, and facilitate
Figure 8.0 and 9.0 taken from www.wabexchange.org.
Outreach and Events
Health Fairs
Mall enrollment events
Libraries
Food banks
Utilizing GIS Maps to identify vulnerable populations geographically
Figure 10.0 taken from www.tpchd.org.
Successes
74,469 newly insured residents in Pierce County
300 in-person assisters trained and certified
Tacoma-Pierce County in RAND Corp report
Lessons Learned Building relationships
Tailoring outreach methods
Approaching the next open enrollment with experience and flexibility
Figure 11.0 taken from www.wabexchange.org.
Future Implications
Local health department to mobilize the boots on the ground for major public health efforts
Life after enrollment
Local health department’s future role in the Affordable Care Act
Special Thanks To:
Abstract co-authors Kayla Scrivner and Antoinette Craig
In-Person Assister Program Team
Tacoma-Pierce County Health Department
For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support
4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: http://www.cdc.gov/stltpublichealth
The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Lauren [email protected] ([email protected])
253-798-4762
Centers for Disease Control and Prevention
Office for State, Tribal, Local and Territorial Support