next steps for the aca in reaching uninsured low...
TRANSCRIPT
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Next Steps for the ACA in Reaching
Uninsured Low-Income Americans
Linda Blumberg and Pamela Herd
Hosted by Steve Cook
March 9, 2016
(Webinar begins at 1:00 p.m. CST, 2:00 p.m. EST)
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Linda BlumbergSenior Fellow
Urban Institute
Pamela HerdProfessor of Public Affairs and Sociology
University of Wisconsin–Madison
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The Remaining Uninsured: Who Are They, How Many Might Be Reached, and
What Strategies Might Best Reach Them?
Linda J. Blumberg (Presenter) Co-authors: Michael Karpman, Matthew Buettgens, Patricia Solleveld
The Urban Institute
www.healthpolicycenter.org
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The slides from Linda Blumberg’s presentation drew from an Urban Institute Health Policy Center report that has not yet been released.
The full set of slides will be made available in late March following the release of the report.
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Pamela HerdPublic Affairs/Sociology
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ADMINISTRATIVE BURDENS IN THE ACA
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Administrative Burdens
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Table 1: The Components of Administrative Burden
Type of cost Application to social policy
Learning costs Citizens must learn about the program, whether they are
eligible, the nature of benefits, and how to access services.
Psychological costs Citizens face stigma of participating in an unpopular program,
as well as the loss of autonomy and increase in stress arising
from program processes.
Compliance costs Citizens must complete applications and reenrollments, provide
documentation of their standing, and avoid or respond to
discretionary demands.
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ENROLLMENT: STANDARDIZATION IN MEDICAID ACROSS STATES
• Eligibility based only on income
• Multiple enrollment options (phone, web, in-person)
• Attempt to verify eligibility via electronic databases
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REENROLLMENT: MEDICAID
• 12 month minimum
• Use existing eligibility information
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ENROLLMENT: GENERAL
• Single portal for both Medicaid and private insurance on
the exchange
• Coordinated eligibility and enrollment systems to ease
transitions between different types of coverage (e.g.
Medicaid vs. subsidized private insurance)
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OUTREACH
• Information campaigns
• Actual enrollment facilitation via navigators
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OUTREACH: WISCONSIN
• Movement from national to local organizations
• Navigators vs. Certified Application Counselors
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Remaining Variation across States
• Extent of outreach
• Use of presumptive eligibility
• Real time determination
• Use of electronic databases
• Quality of online applications
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Q & A
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Thank you!
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Rethinking Neighborhood Violence
in Chicago
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