G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR983
来源IDRR-983-DHHS
Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Tacoma–Pierce County, Washington
Nazleen Bharmal; Malcolm V. Williams; Laurie T. Martin; Christian Lopez
发表日期2016
出版年2016
页码11
语种英语
结论

The Tacoma–Pierce County Health Department Plays an Important Role

  • The local health department is an important leader in outreach and enrollment efforts in the Tacoma–Pierce County region.

Outreach and Enrollment Efforts Face Challenges

  • The Washington Medicaid renewal policy resulted in unanticipated demand for in-person assisters' (IPAs') time and efforts.
  • IPAs and the Washington Health Benefit Exchange, the official state health exchange system, had a poor relationship.
  • Decreased news coverage and publicity for health care–coverage enrollment required more word-of-mouth efforts from the IPA implementation team.
  • More personnel support was needed to address IPAs' concerns.
  • Some raised concerns about having a public health department as a lead agency. Organizational rigidity within the health department resulted in delayed contracts and payments. Some implementation-team partners perceived that the proportion of funds that the health department used to administer the grant was too large and left less funding for contracted IPA groups to provide services.
  • Some leadership and staff did not feel that reform-related activities were part of the core functions of public health.

Some Factors Help the Local Health Department's Efforts

  • Grant support from the Washington Health Benefit Exchange allowed data to be used to select contractors and formal collaboration with the health sector through a steering committee. The exchange grant allowed the health department to hire a full-time equivalent for outreach and enrollment, expanding the health department's capacity for this work.
  • The collaborative culture among organizations in Tacoma helped support the health department's role as a lead agency for IPAs.
主题Affordable Care Act ; Health Care Reform ; Health Insurance Markets ; Public Health ; Washington
URLhttps://www.rand.org/pubs/research_reports/RR983.html
来源智库RAND Corporation (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/108396
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Nazleen Bharmal,Malcolm V. Williams,Laurie T. Martin,等. Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on Tacoma–Pierce County, Washington. 2016.
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