latino state of enrollment: persistent health disparities, barriers and gains under the aca

© 2016 Enroll America | StateOfEnrollment.org

Latino State of Enrollment: Persistent Health Disparities, Barriers and Gains Under the ACA

© 2016 Enroll America | StateOfEnrollment.org National Association of Hispanic Nurses · 6301 Ranch Drive · Little Rock, AR 72223 · T 501-367-8616 · F 501-227-5444 · E [email protected] · W

www.nahnnet.org

The National Association of Hispanic Nurses: Partnerships to Increase Coverage in Communities (PICC) Initiative

Grant #5 CPIMP141072-02-00G. Adriana Perez, PhD, ANP-BC, FAAN

Grant Principal InvestigatorAssistant Professor of Nursing, University of Pennsylvania

mailto:[email protected]

© 2016 Enroll America | StateOfEnrollment.org 2015 Virtual Conference

Overarching Goal

To promote health and wellness using the ACA as a platform to teach multicultural communities about the protections, benefits, health insurance options, and health insurance literacy.

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The Health Status of LatinosSuffer disproportionately from certain chronic diseases

– Twice as likely, as non-Hispanic whites to be diagnosed with diabetes, higher rates of end-stage renal disease, higher risk factors for heart disease/stroke, more likely to die from certain cancers

Highest uninsured rates compared to any other racial or ethnic minority group20% of low-income Latino youth have gone a year without a health care visitAlmost 50% of Latinos report not always getting care when needed

– Compared with 43% black and 41% of white Americans

4Source: http://www.hhs.gov/healthcare/facts/factsheets/2012/04/aca-and-latinos04102012a.html

http://www.hhs.gov/healthcare/facts/factsheets/2012/04/aca-and-latinos04102012a.html


Historical Opportunity for NAHN1. Teaching patients, families, peers and community – cited as #1

motivator for nurses participating in this program.2. Need to clarify myths, learn about local and national resources to

refer families.-- Learn about federal subsidies and application process-- Become more knowledgeable of “how insurance works”

3. Opportunity to gain leadership skills in educating bilingual, multicultural communities on health care reform.-- Building confidence -- Practicing communication skills (public speaking)

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IRB Approval University of PennsylvaniaNurse Outcomes

– >100 NAHN Nurses/Students Since Year 1– “Readiness” Survey

Individual & Family Outcomes– >6,375 attended group education sessions– 861 community health screenings

Community Outcomes– 88 partnerships nationwide (Additional Funding from Accolade & AARP)– >2,400 via social media, messaging, traditional print/news– Robert Wood Johnson Foundation Charting Nursing’s Future– NBC News: Latino Leaders Press Call with HHS Secretary Burwell – Conference call with First Lady Michelle Obama

Recipient of iCohere’s “Serving Those Who Serve Others” 2015 Grant – >320 completed training

Publications

Progress to Date

© 2016 Enroll America | StateOfEnrollment.org 2015 Virtual Conference

Strategies for Success

1. Be inclusive, so that no one is left behindConsider those already with health insurance coverage, those who feel do not qualify for tax credits, etc. – they may be your best marketing strategy

2. Latinos are intergenerational (la familia primero)Include grandparents for education and outreach

3. Strategic PartnershipsNurses can offer health screenings as an entry to discuss health insurance coverage/literacy

4. Annual and ongoing cultural events

5. Test culturally responsive messagingPromote the value of health insurance coverage consistent with the values and priorities of consumers

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– Limited awareness remains a critical barrier– Hard to reach populations especially in need of in-

person, bilingual assistance (technology can augment but not take place of)

• Rural, border communities experience shortage of resources, including health care providers

– Season & Migrant Farmworker Challenges– Culturally responsive messaging impacts perception

• Do not make assumptions• Promote the value of health insurance coverage consistent with

the values and priorities of consumers; focus on health

Barriers Persist

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QUESTIONS

[email protected]

mailto:[email protected]


Thank You!Liliana Ranon, Associate Director of Latino and AAPI Affairs,U.S. Department of Health and Human [email protected]

Adriana Perez, PhD, ANP-BC, FAAN, Assistant Professor,University of Pennsylvania School of Nursing

Samantha Vargas Poppe, Associate Director, National Council of La Raza

latino state of enrollment: persistent health disparities, barriers and gains under the aca

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