what does it take to make enrollment efforts permanent?

© 2016 Enroll America | StateOfEnrollment.org

How to Make Enrollment Efforts Permanent


Goals for this session:

• Identify organizations in your community where health insurance enrollment is a regular practice

• What are the shared benefits for this practice that can be applied to other organizations?

• A list of steps you can take to begin building institutional partnerships in your community


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What does “institutionalization” of health insurance enrollment mean?


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Small Group Breakouts

• Introductions• What did you come to learn today?• Where is health insurance enrollment a

permanent or “routine” practice in your community?


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Partnerships in Three Communities

• Hospital and Faith Community Partnership

• Criminal Justice Community Partnership• School Community Partnership


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Vincent DeMarco, President, Maryland Citizens Health Initiative

Maryland Faith Community Health Network



• 3 Lifebridge Hospitals provide staff navigators who connect hospitalized congregation members to volunteer liaisons in faith community

• Congregation liaisons in 50 faith communities coordinate support services such as pet care, picking up prescriptions, home meals

• Congregation liaisons and hospital navigators collaborate in preventive health programs including health insurance enrollment

• Maryland Faith Community Health Network facilitates training for Congregation liaisons and evaluates pilot program

A Hospital and Faith Community Partnership

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How did the Maryland Faith Community Health Network Get Started?


Our organization, the Maryland Citizens’ Health Initiative Education Fund started this process in Maryland

We reached out to state and local faith leaders and key hospital population health leaders

Maryland hospitals wanted to see the project work in Maryland so MCHI started a pilot with LifeBridge Health

The Maryland Citizens’ Health Initiative Education Fund has been the primary force keeping this project going

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Shared Benefits for the Hospitals and Faith Community


Helps faith communities serve their congregations

Improves care coordination for hospitalized patients

Reduces number of patients who return to the hospital because of lack of care at home

Helps hospitals and providers get to know needs of the community

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How to Establish a Similar Program in Your Community


Start with a Pilot program in one hospital

Reach out to key local faith leaders early to get their buy in, input and support

Keep a dialogue going between the faith leaders and the hospital leaders as issues come up- as they will!

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Vincent DemarcoPresident ,Maryland Citizens’ Health Initiative2600 St. Paul StreetBaltimore, MD 21218(410)[email protected]

www.Healthcareforall.Com

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http://www.healthcareforall.com/


David M. Young, Community Health Specialist, Extension and College of

Nursing, MSU

Making Enrollment Efforts Permanent in the Criminal Justice Community

Preparing Incarcerated Inmates for Reentry into the Community

• Work with the Reentry Coordinator on their application for health insurance coverage

• Make application to one or two reentry programs:– Fresh Start– TEAM Mentoring

• Review curricula on computers on:– Health Literacy– Health Insurance Literacy

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Educating and Enrolling the Justice Involved Population - Background

• 2009 – 2010 launched a multi-disciplinary community-based Reentry Task Force, formulated a strategic slan with mission, vision, goals & objectives, created website.

• 2011 – 2013 received grants to improve health literacy, self-care management, and health insurance literacy.

• 2015 – state legislature and governor approved Medicaid Expansion and CMS approved Medicaid waiver

• 2016 – enrollment began under Medicaid Expansion

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Key Stakeholders Involved• Detention Center (jail) • Sheriff’s Office & Police Department• County Commissioners• County Health Department • Community Health Center (FQHC)• Mental Health Center• County Attorney, Court Services & Judges• Probation/Parole (community corrections)

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Shared Benefits for the Criminal Justice Community

• Improved health and well-being of the justice-involved population

• Improved continuum of care in community• Reduced health care costs for county and state

government (i.e., Medicaid Admin Claiming)• Reduced recidivism rates• Improved community health & public safety• Increased numbers of healthy, productive, law-

abiding, contributing citizens16

How to Establish a Program in Your Community

• Organize a multi-disciplinary community-based task force or committee with a shared vision

• Develop a strategic plan with goals and objectives– Decide on intercept point for enrollmenthttp://static.nicic.gov/UserShared/2014-06-19_nic_decisionmap.pdf

• Recruit buy-in from key community stakeholders– Office of Sheriff and Jail Program Director– Community Health Center/County Health Department– Courts and county corrections officials (P&P)

http://static.nicic.gov/UserShared/2014-06-19_nic_decisionmap.pdf

Lessons Learned• Multiple county and state agencies are involved in the

criminal justice system; politics and turf issues exist

• The Affordable Care Act (ACA) is a major game changer for the justice-involved population

• Continuum of care for returning citizens is critical in reducing recidivism, improving public health & safety

• Factors impacting health insurance coverage for inmates – Medicaid expansion– Medicaid suspension/termination upon arrest

• Important interventions while incarcerated –health literacy, health insurance literacy & relationship education

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David M. Young, Community Health SpecialistResearch Professor, College of NursingCulbertson Hall, Room 235BBozeman, MT 59717-2230(406) [email protected]

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http://msucommunityresources.org/

http://gallatincomt.virtualtownhall.net/Public_Documents/GallatinCoMT_CJCC_Recid/cjcchp

http://msucommunityresources.org/




Kristelle Jose, All IN For Health Campaign Senior Outreach Associate

Making Enrollment Efforts Permanent in Schools


The Children’s Partnership: All In For Health

Outreach and Education to Families with School-Aged Children, Pre-K through Secondary Education

Engage education leaders Equip schools and early learning centers with information

and materials they need to help families Develop materials specific for the school community Certified enrollment counselors help families enroll into

various health coverage plans by receiving referrals or on-site enrollment

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Engaging the School Community Get recommendations from trusted partners, call and emails

educators and district leaders

Suggest ways schools can help: host health enrollment event, distribute outreach materials, place robocall scripts, & include health coverage information in weekly/monthly newsletters

Offer pre-printed and tailored materials

Engage other (community-based) groups such as school-based health centers, after-school networks, etc.

Lesson learned: it takes time to build relationships with schools and it takes time for them to engage; some schools may not have capacity

Continue the conversation. Provide regular updates relating to health coverage (like key dates & new policies that effect children)- empower educators to be advocates


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Shared Benefits for the Education Community

Improved health and school attendance school children

Reduced health care costs for county and state governments

Improved health equity Improved community health Broader understanding of health


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How to Establish a Similar Program in Your Community

Start statewide – connect with the department of education, school boards association, association of administrators, school nurses organization, PTA, etc.

Understand schools’ priorities and capacities, provide technical assistance, & enlist trusted partners

Provide materials and assistance to increase engagement,

Keep education leaders engaged & repeat the message at every level


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Kristelle Jose Senior Outreach AssociateAll In For Health Campaign The Children’s Partnership1351 Third Street Promenade, Suite 206Santa Monica, CA 90401PH: (310) 260-1220 [email protected]

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mailto:[email protected]

http://www.childrenspartnership.org/


Questions?

• What common themes do we see in these programs?

• What makes these institutional partnerships work?


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Small Group Breakout 2:

• What opportunities exist in your community to build upon or implement a new collaborative partnership?

• What will the shared benefits look like from both sides of the partnership?

• Who will you engage in the conversation?• How do you start the conversation?• What is a step you can take now?


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Debrief and Next Steps


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