Online Program

Implications of Health Reform and Managed care for Refugees and Immigrants in Kentucky

Tuesday, November 5, 2013 : 9:30 a.m. - 9:45 a.m.

Emily Beauregard, MPH, Kentucky Primary Care Association, Frankfort, KY
Newly resettled refugees and immigrants living in Kentucky face significant barriers to care and lack sufficient health insurance coverage. Although many families are eligible for Medicaid, single adults without dependents and undocumented immigrants typically rely on catastrophic coverage or pay for services out-of-pocket. A lack of reimbursement for language services, limited coverage for preventive and ancillary services, and little experience among health care providers in serving a multi-cultural population have created barriers to access and a reliance on safety-net providers. Efforts to address these barriers to care in recent years have included the development of a state refugee health program and collaboration among a number of state and local partners to advocate for and develop the capacity of health systems to provide language access, culturally sensitive care, and patient navigation. Medicaid managed care organizations, hospitals and a growing number of primary care providers are integrating these services into their systems due to accreditation requirements. With Medicaid expansion and the Kentucky Health Benefits Exchange on the horizon, many more low income refugees and documented immigrants will qualify for coverage in 2014, increasing access to care for those who were uninsured or underinsured. However, with many funding sources for uncompensated care expected to decrease under health reform, resources for language services, refugee screenings, and services provided to undocumented immigrants will continue to be barriers to care that must be addressed.

Learning Areas:

Diversity and culture
Provision of health care to the public
Public health administration or related administration
Public health or related public policy

Learning Objectives:
Identify challenges faced by resettled refugees and immigrants living in Kentucky Describe the barriers to accessing health care services facing resettled refugees and immigrants Discuss methods to address barriers facing resettled refugees towards accessing health care services

Keyword(s): Health Care Reform, Refugees

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I previously served as the Refugee Health Coordinator for Kentucky and completed a community health assessment for the purposes of starting a refugee health program in Louisville. In my current role as Director of Planning and Communications at the Kentucky Primary Care Association, I have continued to address issues of language access and barriers to care for vulnerable populations across the state.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.