advocacy and enrollment challenges and opportunities
TRANSCRIPT
ADVOCACY AND ENROLLMENT Challenges and Opportunities
WHAT IS UHPP?
• Historically UHPP has been a statewide health care policy and advocacy organization focusing on needs of the underserved
• Last August UHPP won Utah’s largest Navigator grant and became a direct service provider
The Utah Health Policy Project (UHPP) is a nonpartisan, nonprofit policy, advocacy and enrollment assistance organization.
www.healthpolicyproject.org
@UHPP
www.facebook.com/utahhealthpolicyproject
WHAT IS TAKE CARE UTAH?
Take Care Utah is a health care insurance enrollment program hosted by the Utah Health Policy Project in collaboration with partner agencies around the state of Utah.
UHPP’s Navigator program is part of Take Care Utah
UHPPAUCH
2-1-1 / UWSL
Salt Lake County:
Outreach to other counties,
grants
Office of Health Disparities (engage
CBOs serving communities
of color)
Refugee Assistance networks
Legal service groups
Health Clinics
Outreach, education, policy
interface, hub support
Call center, point of entry,
enrollment
Administration, enrollment,
primary care access points
Other statewide networks
Library Networks
Anti-poverty groupsTHE
HUB MODEL
TAKE CARE UTAH’S WEBSITE RESOURCE www.takecareutah.org
CHALLENGES TO ADVOCACY AND ENROLLMENT UNDER ONE ROOF
• Federal Navigator Rules
• Navigators cannot advocate
• Navigators are held to privacy standards
• Prohibitions on collecting data
• Conflict of Interest requirements
• Impartiality Requirement
• Public Misperception
• Is UHPP an insurance plan?
• Does UHPP sell insurance?
• Political Exposure
• UHPP has in some ways placed an ACA target on its back
• Partisanship concerns
OPPORTUNITIES TO ADVOCACY AND ENROLLMENT UNDER ONE ROOF
• Story Banking
• In house
• Families USA partnership
• Synergy: Enrollment Assistors and Advocates
GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES• UHPP and its navigator subgrantees hear from a broad variety of
individuals but they cannot collect stories, data or even pass along names
• As a workaround we created a phone call triage system and the following leave behind:
Tell us your story!
Explain how your health insurance made a positive difference in your life! Spread the word by telling your story at:
Email: [email protected]: 801-433-2299 8
How do policy advocates help enrollment program?
• Running Policy Issues up the Flag Poll
• Website issues and work-arounds
• Incorrect Medicaid Determinations
• Legal Permanent Resident Access to Medicaid
• Incorrectly Reporting Income
• Triaging crisis: Primary Care Network Transition
• State licensing of CACs and Navigators
• Assistance with Policy issues keeps enrollment
assistors focused on enrolling
• Motivation
GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES
GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES
How does enrollment program help policy team? Anecdotal information/data and Stories
Medicaid Gap
Enrollment Success
Strengthen standing or voice
Trusted Authority for
Builds reputation—walk and chew gum same time
Clout with media and public—young invincibles
Motivation—seeing families enrolling or falling in gap first hand lights the fire in advocates—not theoretically but in first person
SUMMARY
• There are significant challenges and opportunities to having enrollment and advocacy under one roof
• So far, the pros outweigh the cons
If any questions email: