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Latinos & the ACA: Outreach & Best Practices
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OUTREACH SUCCESSES &
PERSISTENT BARRIERS
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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
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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.
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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
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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
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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.
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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.)
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Tools to Address Health Literacy Tools must be:
• Culturally & Linguistically Competent
• Break down complex terminology
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Messaging must be Simple & Clear
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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
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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
Getcoveredamerica.org EnrollAmerica.org