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Barriers Affecting Outreach and Awareness

• There is significant confusion and little understanding about Medicaid and private insurance subsidies through Connect for Health Colorado.
• Messaging about insurance was not compelling and did not discuss the health benefits of insurance.
• There are not enough funds or data to support local outreach and education.

Barriers Affecting the Decision to Enroll

• Many Coloradans have unfavorable attitudes toward the individual mandate.
• There is significant mistrust of the system.
• Messaging was often not tailored or actionable.
• Health insurance coverage is not affordable for many Coloradans.

Barriers Affecting the Enrollment Process

• The complexity of plan materials makes plan selection difficult.
• There were lag times and poor communication about eligibility-related decisions.
• There was misinformation across stakeholders.
• Individuals in Colorado must apply for Medicaid and be denied before applying for private insurance.
• The Connect for Health Colorado website was not user-friendly.