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Designing Subsidized Health Coverage Programs to Attract Enrollment

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Designing Subsidized Health Coverage Programs to Attract Enrollment Contract No.: 233-02-0086 MPR Reference No.: 6203-950 Designing Subsidized Health Coverage Programs to Attract Enrollment: A Review of the Literature and a Synthesis of Stakeholder Views Final Report December 31, 2008 Lynn Quincy Patricia Collins Kristin Andrews Christal Stone Submitted to: Submitted by: ASPE/HHS Mathematica Policy Research, Inc. 200 Independence Ave., S.W. 600 Maryland Ave., S.W., Suite 550 Washington, DC 20201 Washington, DC 20024-2512 Telephone: (202) 484-9220 Facsimile: (202) 863-1763 Project Officer: Project Director: Donald Cox Deborah Chollet A CKNOWLEDGMENTS his report was prepared by Mathematica Policy Research, Inc., under contract number 233-02-0086 for the Assistant Secretary of Planning and Evaluation (ASPE), T U.S. Department of Health and Human Services. Donald Cox and Donald Oellerich served as project officers for this report. We gratefully acknowledge their support of this study. Many individuals contributed to this report. Lynn Quincy is the primary author of the report. She received significant research and writing assistance from Kristin Andrews, Patricia Collins, Elizabeth Seif, Christal Stone, and Kia Alston. Deborah Chollet, Mary Harrington and Chris Trenholm provided expert advice. Debra Lipson reviewed the report and made useful suggestions that improved the quality of the report. Amanda Bernhardt led the editorial team and Donna Dorsey provided production assistance. Although we gratefully acknowledge the input of these individuals, the authors alone are responsible for any errors or omissions in the report. Any opinions expressed in this report are those of the study participants and authors and do not necessarily reflect the views of the U.S. Department of Health and Human Services. Finally, and most importantly, the study authors acknowledge the program directors, enrollment counselors, brokers, community advocates and others who agreed to participate in this study. Participants’ willingness to share their time, expertise, and program experience is very much appreciated. We have received permission to list these individuals below in alphabetical order by the program with which they are associated. Our thanks to: AccessHealth Jeff Fortenbacher, Executive Director, AccessHealth AdultBasic Steve Fera, Vice President, Government and Social Mission programs, Independence Blue Cross iv George Hoover, Deputy Commissioner, Children’s Health Insurance Program and adultBasic Programs, Pennsylvania Insurance Department Ed Naugle, Division Chief of Operations Support, Pennsylvania Insurance Department John Mancano, Director of Special Programs, Independence Blue Cross Melissa Van Benthuysen, Team Leader, Policy Studies, Inc. Alliance Family Care Ingrid Lamirault, CEO, Alameda Alliance for Health Nina Marayuma, Director, Business Planning and Regulatory Affairs and Compliance Officer, On Lok Luella Penserga, Project Director, Alameda County Access to Care Collaborative ARHealthNetworks Dan Adams, Project/Program Director, Department of Human Services, Division of Medical Services Suzanne McCarthy, Founding Senior Associate, Arkansas Center for Health Improvement John Ryan, CEO, NovaSys Health Kevin Ryan, Executive Director, Arkansas Center for Health Improvement Dwane Tankersley, Vice President Sales and Marketing, NovaSys Health Brooklyn Health Works Joseph (J.C.) Cohen, CFEd® Employee Benefit Services Jim Cosares, Broker, JIMCO Associates, Inc. Mark Kessler, Vice President, Membership & Member Services, Business Council of New York State Dean Mohs, Executive Director of Brooklyn Healthworks, Brooklyn Chamber of Commerce Family Health Insurance Assistance Program Craig Kuhn, Program Manager, Family Health Insurance Assistance Program John Gridley, President, First Choice Health Insurance, Inc. Acknowledgments v Ann Gridley, Secretary/Treasurer, First Choice Health Insurance, Inc. Mark Jungvirt, Marketing Manager, State of Oregon, Office of Private Health Partnerships FOCUS Rick Kronick, Professor and Chief, Division of Health Care Sciences, Department of Family and Preventive Medicine, University of California, San Diego Health Advantage Kim Harper, VP of Human Resources and Public Affairs, Wishard Health Services Rhonda Peterson, Financial Counselor, Raphael Health Center Susan Jo Thomas, Director, Health Advantage HealthChoice Michael D. Grundy, Executive Director, HealthChoice of Michigan Lorenzo Lopez, Deputy Director, Wayne County Patient Care Management System Artiss White, Department Manager PCMS and HealthChoice, Wayne County Patient Care Management Healthy San Francisco Lindsey Angelats, Senior Health Program Planner, San Francisco Department of Public Health Tangerine Brigham, Deputy Director of Health, Director of Healthy San Francisco, San Francisco Department of Public Health Danice Cook, Health Program Planner, San Francisco Department of Public Health Michael Drennan, Director of Primary Care Division, Community Oriented Primary Care Robert Menezes, Director of Marketing & Communications, San Francisco Health Plan, San Francisco Department of Public Health Marcelina Ogbu, COO of DPH clinics, Community Health Programs, San Francisco Department of Public Health Jenine Smith, Supervisor, Enrollment Unit, San Francisco Department of Public Health Acknowledgments vi Hinds County Health Alliance Dr. Aaron Shirley, Board of Directors, Jackson Medical Mall Primus Wheeler, Executive Director, Jackson Medical Mall Foundation Ingham Health Plan Dr. Jaeson Fournier, Deputy Health Officer, Ingham County Health Department Joan Nelson, Director, Allen Neighborhood Center Robin Reynolds, Executive Director, Ingham Health Plan Corporation Dr. Dean Sienko, Health Officer/Medical Director, Ingham County Health Department Insure Montana Howard Bouma, Sales Executive, Northern Montana Insurance Services Tim Garden, MBA, Insurance Producer, Western States Insurance Erin McGowan, Legislative/Health Policy Advisor, State Auditor’s Office Jill Sark, Director, Insure Montana Program, State Auditor's Office Insure Oklahoma/O-EPIC IP Plan and Employer Sponsored Insurance Plan (many, but not all, discussants responded to questions about both plans) Nicole Altobello, Operations Supervisor, Oklahoma Insurance Department David Blatt, Director of Policy, Oklahoma Policy Institute Regena Carlson, Insure Oklahoma Supervisor, EDS Call Center Mike Fogarty, CEO, Oklahoma Health Care Authority Nico Gomez, Director of Communication Services, Oklahoma Insurance Department Buffy Heater, Manager of Planning & Development, Oklahoma Insurance Department Jo Kilgore, Public Information Manager, Oklahoma Insurance Department Craig Knutson, Chief of Staff, Oklahoma Insurance Department Tyler LaReau, Broker, LaReau & Associates, Inc. Matt Lucas, Director, Insure Oklahoma Scott Mack, EDS Account Executive Acknowledgments vii Lynn Mitchell, Medicaid Director, Oklahoma Insurance Department Melissa Pratt, Outreach Supervisor, Oklahoma Insurance Department Becky Pasternik-Ikard, State Medicaid Chief Operations Officer, Oklahoma Health Care Authority Dot Rhyne, General Manager, Griffin Marketing Solutions Matthew Robison, Vice President of Small Business and Workforce Development, State Chamber Kathy Sercel, Griffin Communications’ Subject Matter Expert for Insure Oklahoma (through August 2008) JaxCare Rhonda Davis Poirier, President & CEO, JaxCare, Inc. Primary Care Network David Ostrom, Assistant Deputy, Utah Department of Workforce Services Amanda Sok, Medical Program Specialist, Utah Department of Workforce Services Sheila Walsh-McDonald, Health Care Advocate, Salt Lake Community Action Program Heidi Weaver, Primary Care Network Program Manager, Utah Department of Health SacAdvantage Jim Hunt, Chairman, Board of SacAdvantage John Ramey, Executive Director, Local Health Plans of California Garry Maisel, President and CEO, Western Health Advantage RIteShare Deborah Florio, Administrator, Center for Child and Family Health, Medicaid Division, RI Department of Human Services Linda Katz, Director of Policy, The Poverty Institute Gayle Wentworth, Benefits Specialist, Westerly Hospital Acknowledgments viii Utah Premium Partnership/Covered at Work Heidi Weaver, Utah Premium Partnership Program Manager, Utah Department of Health Colleen Mellor, Employee Benefits Specialist, Strategic Employee Benefit Services Sheila Walsh-McDonald, Health Care Advocate, Salt Lake Community Action Program Acknowledgments C ONTENTS Chapter Page EXECUTIVE SUMMARY..................................................................................................xvii I WHY THIS STUDY IS NEEDED.........................................................................................1 STUDY APPROACH .............................................................................................................2 PROGRAMS INCLUDED IN THE STUDY............................................................................2 REPORT STRUCTURE AND PREVIEW OF FINDINGS.......................................................3 Successful Strategies Common to All Programs.................................................. 4 Findings Specific to the Coverage Approach ....................................................... 4 II BROKERED ACCESS TO SUBSIDIZED CARE.................................................................... 7 PROGRAM BACKGROUND AND ENROLLMENT EXPERIENCE TO DATE ....................8 KEY FINDINGS...................................................................................................................9 PROGRAM AWARENESS...................................................................................................10
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