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Both the Mountain West Regional Health Alliance and Local Health Departments Play Important Roles

• The local health department is an important partner in the Mountain West Regional Health Alliance, which applied for and received state funding for outreach and enrollment.
• During the first open-enrollment season (2013–2014), the alliance's outreach and enrollment activities consisted primarily of certified health coverage guides providing one-on-one support to individuals, families, and small businesses looking for health insurance through Connect for Health Colorado.
• Alliance members secured funding; hired all health coverage guides; provided infrastructure, training, and staff support; facilitated organizations' access to uninsured populations; created a broad network of local health departments and other providers of social services; and supplied trusted expertise in health.

Outreach and Enrollment Efforts Face Challenges

• Challenges include inconsistencies between national and state enrollment processes, the fact that a major grant was not actually awarded until just before open enrollment began, underestimations of time required to complete enrollments, and high insurance costs.

Some Factors Help Local Health Departments' Efforts

• These factors include trust and strong communication; complementary, not competing, interests; strong community presence; ability to influence policy; and shared decisionmaking across the alliance.