outreach opportunities for 2015: reaching the justice population in pennsylvania elizabeth hagan,...
TRANSCRIPT
Outreach Opportunities for 2015: Reaching the Justice Population in
Pennsylvania
Elizabeth Hagan, Senior Policy Analyst
FamiliesUSA.org
Families USA The Voice For Health Care Consumers
Enrollment Private Market
Health Systems Transformation
Medicaid
Health
Equity
FamiliesUSA.org
Agenda
Housekeeping Overview and backgroundGetting startedExamples from the statesQuestions
FamiliesUSA.org
Overview and Background
FamiliesUSA.org
Why the Justice Population?
High needs
High uninsured rates
Easy-to-target population
Eligibility for Medicaid and marketplace coverage
FamiliesUSA.org
Need for Care
Chronic Disease Mental Illness Substance Abuse Disorders0%
10%
20%
30%
40%
50%
60%
70%
General Population Incarcerated Individuals
Sources: National Health Council, About Chronic Disease; available at: http://www.nationalhealthcouncil.org/sites/default/files/AboutChronicDisease.pdf; Bureau of Justice Statistics, Medical Problems of State and Federal Prisoners and Jail Inmates, 2011–12, available at: http://www.bjs.gov/content/pub/pdf/mpsfpji1112.pdf; Bureau of Justice Statistics, Special Report: Mental Health Problems of Prison and Jail Inmates, 2006, available at: http://www.bjs.gov/content/pub/pdf/mhppji.pdf; SAMHSA’s 2012 National Survey on Drug Use and Health, available at http://www.samhsa.gov/data/sites/default/files/2k12MH_Findings/2k12MH_Findings/NSDUHmhfr2012.htm; SAMHSA’s; Bureau of Labor Statistics, Substance Dependence, Abuse, and Treatment of Jail Inmates, 2002, available at: http://www.bjs.gov/content/pub/pdf/sdatji02.pdf.
FamiliesUSA.org
Need for Coverage
Sources: Journal of the American Medical Association; Health Care Coverage and Access for Men, 2013-2015. Urban Institute, Health and Prisoner Reentry: How Physical, Mental, and Substance Abuse Conditions Shape the Process of Reintegration, 2008, available at: http://www.urban.org/research/publication/health-and-prisoner-reentry.
70%
Men Women0%
10%
20%
30%
40%
50%
60%
70%
80%
90%Estimated Uninsured Rates
General Population
Incarcerated Individuals
FamiliesUSA.org
Justice Population
Medicaid-Eligible
Population
Marketplace-Eligible
Population
The Enrollment Opportunity
FamiliesUSA.org
Justice Population
Families CommunitiesIndividuals
Benefits of Outreach
FamiliesUSA.org
Getting Started
FamiliesUSA.org
Considerations for Pennsylvania
Federally-facilitated marketplace (FFM)
Medicaid expansion state
Large population with high uninsured rate
FamiliesUSA.org
Partnerships
Outreach and Education
Enrollment
Exemptions and Referrals
FamiliesUSA.org
CourtsPublic
Defender Offices
Probation and Parole
Officers
State Department of Correction
Reentry Councils
Halfway Houses
Local and County Jails
Federal Prisons
Advocacy Groups
Partnerships
FamiliesUSA.org
Outreach and Education
Staff training• Training for sheriffs, judges, probation and parole
officers, jail staff, etc.• Making the case about why this work is important • Building relationships
Consumer outreach and education• Outreach and education for those incarcerated
and/or soon-to-be released• Outreach and education after reentry• Building relationships for follow-up
FamiliesUSA.org
Enrollment
FamiliesUSA.org
Marketplace Enrollment
2017
60 days to enroll in coverage
Notify marketplace of upcoming release
Release from incarceration
Special enrollment period triggered
2016
Release from incarceration
Special enrollment period triggered
60 days to enroll in coverage
FamiliesUSA.org
Exemptions and Referrals
FamiliesUSA.org
Examples from the States
FamiliesUSA.org
Virginia
Partnerships with courts and public defender offices
Partnerships with probation and parole offices
Presentations on ACA
Reentry fairs
FamiliesUSA.org
Broad-based coalition
Identifying soon-to-be released individuals
Education within facilities
“10 Things” documents
FamiliesUSA.org
Promising Practices
Know your audience
Know who to engage
Frame the message
Identify touch points
Understand limitations
1201 New York Avenue, NW, Suite 1100Washington, DC 20005
main 202-628-3030 / fax 202-347-2417
Questions?Email us at:
Or visit us at:
http://familiesusa.org/initiatives/enrollment-assister-resource-center
http://familiesusa.org/health-action-network