Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum

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


Using Coalitions to Reach the Uninsured Strategies to Expand Capacity and Build Momentum


COVER ARIZONA: A Statewide Stakeholder Coalition

Allen Gjersvig, Director Healthcare Innovation, Arizona Alliance for Community Health Centers | 6.12.15


Big Tent – Diverse Stakeholders

•  Statewide coalition •  Started in 2010 due to a Medicaid freeze •  Evolved after OE 1, more structured during OE 2 •  Getting ready for OE 3 •  900 stakeholders •  FFM state with Medicaid expansion

© 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org 4

Evolving Role

Cooperation •  Hospitals, Community Health Centers, NAVs,

CACs, IPAs, advocates, faith-based etc. •  Shared consistent messaging

Coordination •  Consumer facing website •  Assister and Outreach resources •  Connector & one phone # for statewide scheduling •  Events - statewide listing

Collaboration •  Joint events, many partners •  Media relations, local spokespeople •  Creating shared resources/materials


Organization

Statewide Steering Committee Four regions and regional leads. Monthly statewide webinar, monthly committee meetings. Overall strategy, direction and goals. Decisions by consensus. Minimal conflict.

Assister Training and Events •  Training to complement CMS •  Event planning and coordination

Consumer Education •  What do they need to know •  Insurance literacy

Marketing Communication •  Messaging •  Earned media & Social media

Policy Issues •  Tracking state and national issues •  Developing contingencies


Specific Examples

Assister Training and Event Committee •  OE2 & 3 – 2 day Assister training held in 4 cities, collaboration

with Region IX HHS •  Used Enroll Am. data to find where more Assisters are needed •  Selected 4 dates for statewide OE3 enrollment events

Consumer Education Committee

•  Reviewed current posted resources/materials •  Planning OE3 Insurance Literacy Summit

for a very broad audience •  Developing improved QHP plan and

provider network information


Key Stakeholders

National •  Data to locate the uninsured • Grass roots organizing for informing consumers

St. Luke’s Health Initiatives •  Neutral 3rd Party Convener • Website, Messaging & Media relations

Statewide & Local Assister Network • More than 50% of Licensed Navigators and Counselors •  400 locations for consumers


One Consistent OE2 Message

•  Consistent message used statewide by members •  Used in presentations, media interviews and conversations •  Used in materials and ads •  Consistency is a “force-multiplier” because of repetition


•  Coalitions are messy •  Find a strong & knowledgeable neutral convener •  Define the goals & role of the coalition; this will help

reduce the “tension” among members •  Discuss what the coalition can do better than individual

members and what members can do better on their own •  Consensus = Courtesy; Voting = Winners & Losers •  Consistent messaging & statewide scheduling adds value

Path Forward


coveraz.org



Allen Gjersvig

Director of Healthcare Innovation

Arizona Alliance for Community Health Centers Phone: 602-288-7544

Email: [email protected]


Porsche L. Blount, Mobile Field Navigator, Enroll Alabama | 6.12.15

TARGETED OUTREACH: Using Data Analysis to Shape Coalition Efforts in Rural Communities


Using Data/Rural Communities

Presentation Overview

●  Organizational Structure

●  Coalition Structure & Objectives

●  Coalition’s Use of Data to Shape Objectives

●  Plan of Action

●  Results & Future Plans


•  One of two Federal Navigator Organizations in Alabama

•  Mobile Office services nine counties in Southwest Alabama

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Section 1: Enrolling your family

•  Eight satellite offices servicing 67 Alabama counties

Follow Us: Facebook: Facebook.com/Enroll Alabama Twitter: Twitter.com/Enroll Alabama YouTube: YouTube.com/EnrollAlabama Instagram: Instagram.com/EnrollAlabama For more information about Enroll Alabama, including upcoming events, frequently asked questions, and more, visit EnrollAlabama.com

Enroll Alabama Coalition


Alabama Outreach & Enrollment Coalition

•  Led by Arise Citizens’ Policy Project

•  Consists of Navigator/CAC assister

organizations, faith-based organizations,

community organizations, and more

•  Bi-Weekly Conference Calls

•  Weekly during OE

•  Statewide summit twice a year

•  Emails among the coalition, as needed


Coalition Objectives for OE2

•  Increase enrollment

•  Expand outreach efforts

•  Focus on rural/underserved areas

•  Establish an efficient statewide

operation


OE1 Data Analysis

•  Doug Hoffman of Engage Alabama compared census income data with OE1 enrollment data

•  Information was examined per zip code

•  Divided the number enrolled in OE1 by the uninsured population over 138% of FPL

•  Coalition was aware of gaps in data


OE1 Data Analysis

•  Raw data from zip codes was grouped by county

•  “Average enrollment” calculated for each county

•  Coalition chose five counties with lowest average enrollment:

•  Lawrence (22%)

•  Cleburne (22%)

•  Bibb (23%)

•  Covington (21%)

•  Escambia (17%)


•  Target counties

divided into regions

•  Active assister

organizations

identified in each

region

•  But how to

implement?

Partnerships Already

Underway

Hospital coalition was being formed across Alabama

Library partnerships were proving VERY effective in metro

areas

Building Plan from Data Analysis


Partnerships Already

Underway

Hospital coalition was being formed across Alabama

Library partnerships were proving VERY effective in metro

areas

Plan of Action following Data Analysis

•  Faith-based community

•  Minister Geraldine Moore, National Faith-Based Mobilization Network

•  Contacted Alabama Baptist Association

Coalition (Plans event, point of

contact)

Churches (Provide location, publicize event)

Assisters (Manpower, education,

enrollment)

Network Established


Outcomes

•  Within a matter of weeks, outreach was underway

•  Outreach & enrollment activities in hard to reach communities

•  Created ongoing relationships between assisters & churches


Looking Ahead

●  Establishing relationships with churches in other low enrollment counties

●  Start OE3 in rural areas, allowing for greater impact of outreach efforts

●  Prepared to adjust strategy based on new data



Porsche Blount

Mobile Field Navigator

Enroll Alabama

Phone: 251-471-5277 ext. 6110



Eric Savaiano, Statewide Coordinator, Enroll Nebraska | 6.12.15

A SUCCESSFUL COALITION CAMPAIGN: 500 and 1500 by 15th Campaigns


Enroll Nebraska Background

•  Nebraska: •  Not yet a Medicaid expansion

state, FFM State •  Population: 1.8 million •  Enrolled in OE1: 43k people •  Enrolled in OE2: 74k people

•  Statewide Network of community organizations, in-person assisters, health care providers and advocacy groups in Nebraska

•  Active in outreach, education and collaboration around the ACA – not direct enrollment assistance


•  Objectives: •  Strengthen coalition •  Gain positive media attention

for ACA and enrollers •  Bring assisters together

•  Strategy: •  Statewide “2 Weeks of Action”

in December and February

“500 and 1500 by the 15th Campaigns”

December 1-15, 2015


Developed materials •  Organization pledge •  2 data collection sheets •  Branding •  Training

Created web-based landing page

•  www.enroll-ne.org/1500 •  Extended hours •  Enrollment events

Campaign Tactics


Earned media •  Press release •  State Senator

•  Senatorial newsletters •  Video

Social media •  Created hashtag: #500by15th •  Wrote sample tweets for each day

Media Strategy

State Senator Jeremy Nordquist

Example: Almost out of time, check out the events going on around Nebraska to help you get enrolled! http://enroll-ne.org/1500 #1500by15th

https://vimeo.com/113728367


Results

500 by the 15th Dec 1-15 •  893 enrolled or renewed

•  Participating organizations •  Number of new enrollments •  Number of renewals •  Number of people who

attended events •  Number of commitment

cards signed •  Number of appointments

made •  Number of earned media

hits

•  Number of unique social media #hashtag hits

•  Number of unique visitors to website

•  Extended operating hours

1500 by the 15th Feb 1-15 •  1506 enrolled or renewed

Data Collection Points


“How did you hear about us?”

0 20 40 60 80

100 120 140

Midpoint Final


1. Expand coalition to maximize referrals

2. Continued interest in participation as a state

3. Positive sense of competition among assisters

Impact of Campaign


Celebrate! •  Celebration webinar •  Mailed out gift cards / swag •  Outstanding assisters •  Special guests

•  Make videos •  It’s fun to watch

others have fun

Best Practices



Eric Savaiano

Enroll Nebraska Statewide Coordinator

Nebraska Appleseed Phone: 402-438-8853 ext. 126




Questions??

Using Coalitions to Reach the Uninsured: Strategies to Expand Your Capacity and Build Momentum

Healthcare

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