latinos and the affordable care act: outreach and best practices

© 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org

Click to edit master title style.

1

Latinos & the ACA: Outreach & Best Practices

© 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org 2

OUTREACH SUCCESSES &

PERSISTENT BARRIERS


What Do We Know

v 11.4% drop in uninsured Latinos – 4+ mil v 913,000 young Latin@s, including 375,000

Latinas, remain on their parents’ plans until the age of 26.

v 10.5 million uninsured eligible in OE3 Ø  1/3 of these eligible are people of color Ø  19% of these eligible are Latino Ø  40% are living between 140-250 % FPL


What Do We Know

v Nearly half of Latin@s remain uninsured in states that have not expanded Medicaid.

v  After 1st enrollment period, 25 percent of Latin@s remained

uninsured, compared to only 14 percent of the U.S. population.

v Latinas still have the highest rates of lacking coverage among women aged 18-64, with 24 percent going without coverage, compared to 13 percent of white women.

v  Many Latin@s are completely ineligible for the gains of the ACA because of their immigration status.


Persistent Barriers: Enrollment & Understanding

v  54% Spanish-speaking Latinos state having health insurance as very important

v  63% Spanish-speaking Latinos prefer in-person help

v  80% who did not visit marketplace were Spanish-speaking Latinos

v  77% Spanish-speaking Latinos do not understand tax credits


Persistent Barriers: Enrollment & Understanding

v  1 out 4 immigrant households is a mixed-status household

v  Fear of Immigration and Customs Enforcement (ICE) and applying impacting future legal proceedings

v Complex terminology and inability of assisters to explain them at point of entry

v Disparate demographic numbers reflecting ethnic enrollment patterns


Outreach: Communities of Color

v Messaging through traditional media (TV, Radio, Print) works- its expensive, but it works.

v Trusted surrogates are best messengers (faith leaders, elected, local leaders, doctors, educators)

v Events in the community in trusted venues work best (churches, schools, libraries, hospitals)

v Messaging must be simple, clear, and linguistically & culturally competent.


Health Insurance Literacy Framework

•  1. Understand the most persistent HIL gaps among the remaining uninsured and newly enrolled.

•  2. Define what information consumers value about HI and how to use coverage.

•  3. Uncover the best times to expose consumers to information about HI in order to positively affect their behavior (e.g. when shopping for coverage).

•  4. Discover how and under what circumstances consumers are interested in receiving new information about health insurance and how to use coverage.

•  5. Determine what and from who consumers want to hear about health insurance (doctor, in-person assister, insurer, etc.)


Tools to Address Health Literacy Tools must be:

•  Culturally & Linguistically Competent

•  Break down complex terminology


Messaging must be Simple & Clear


Resources

Latino Toolkit: Outreach and Enrollment https://www.getcoveredamerica.org/action-center/toolkits/constituency-specific-toolkits/latinos/ Calculator in Español https://www.getcoveredamerica.org/es-calculator/ Tool to connect with in-person help in Español https://www.getcoveredamerica.org/es-connector/ Faith-based Toolkit https://s3.amazonaws.com/assets.getcoveredamerica.org/wp-content/uploads/Health-Care-in-the-Pulpit-Action-Guide_SPANISH.pdf


GetCoveredAmerica.org

Source: Centers for Medicare and Medicaid Services analysis of the 2011 American Community Survey

47% 47%

Thank you!

Jose L. Plaza National Director Latino Engagement

[email protected]

Getcoveredamerica.org EnrollAmerica.org

latinos and the affordable care act: outreach and best practices

Healthcare