来源类型 | Research Reports
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规范类型 | 报告
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DOI | https://doi.org/10.7249/RR985
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来源ID | RR-985-DHHS
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| Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on West Virginia |
| Julia Joh Elligers; Nazleen Bharmal; Laurie T. Martin; Malcolm V. Williams; Courtney Armstrong
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发表日期 | 2016
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出版年 | 2016
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页码 | 9
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语种 | 英语
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结论 |
Two Collaborations Drove Outreach and Enrollment in West Virginia- The West Virginia Department of Health and Human Resources (DHHR) inROADS system permitted federally approved fast-track enrollment.
- DHHR market research showed that programs should frame outreach and enrollment in terms of increased coverage and access to care and that in-person assisters (IPAs) should not reference "Obamacare" or the Patient Protection and Affordable Care Act (ACA).
- West Virginians for Affordable Health Care and its Implementation Coalition and DHHR's Health Innovation Collaborative conducted outreach and enrollment activities.
- The Kanawha–Charleston Health Department educated stakeholders about ACA implementation and publicly encouraged Medicaid expansion.
Outreach and Enrollment Efforts Faced Challenges- Describing the exchange to consumers was difficult.
- Staff spent most of their time at county DHHR offices, hospitals, or community health centers, so hard-to-reach populations were difficult to enroll.
- Only one qualified health care plan was offered through the exchange, and many consumers felt that it was not affordable.
- So-called "Obamacare" is unpopular in the state, which discouraged people from enrolling.
Some Factors Helped Local Health Departments' Efforts- The dire health conditions in West Virginia motivated people from different sectors to work together to support outreach and enrollment.
- Most people in West Virginia have known each other for years and in diverse settings, thus forging strong bonds of trust.
- Local health officials are seen as well-informed, credible, and trusted sources of information.
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摘要 |
- About 30,000 people in the state are uninsured and difficult to reach and enroll. New strategies will have to be used to enroll these remaining uninsured.
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主题 | Affordable Care Act
; Health Care Reform
; Health Insurance Markets
; Public Health
; West Virginia
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URL | https://www.rand.org/pubs/research_reports/RR985.html
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来源智库 | RAND Corporation (United States)
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引用统计 |
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资源类型 | 智库出版物
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条目标识符 | http://119.78.100.153/handle/2XGU8XDN/108402
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推荐引用方式 GB/T 7714 |
Julia Joh Elligers,Nazleen Bharmal,Laurie T. Martin,et al. Assessing the Role of State and Local Public Health in Outreach and Enrollment for Expanded Coverage: A Case Study on West Virginia. 2016.
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