142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Community Health Workers as Health Insurance Marketplace Navigators: Lessons Learned and Paths Forward

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 10:30 AM - 10:50 AM

Ashley Martin, MPH , MHP, Inc., Bradenton, FL
Colleen Reinert, MPH , MHP Salud, Bradenton, FL
This presentation highlights the successes and challenges of utilizing Community Health Workers as Health Insurance Marketplace Navigators in the Lower Rio Grande Valley (RGV), Texas.  For residents of the Valley, where they live greatly affects their health and well-being. The Rio Grande Valley is located in the southernmost tip of Texas along the U.S.-Mexico border and includes Cameron, Hidalgo, Staff and Willacy Counties.  In this Region, the majority (91%) of residents are Hispanic or Latino.  These counties rank among the worst in Texas in terms of behavioral, social, and environmental factors that affect health.  Additionally, there is a large uninsured population.  We estimate that there were 353,671 uninsured persons in the Valley in 2011.  Approximately, 219,057 of these uninsured individuals had family incomes at or below 138% federal poverty level (FPL), and approximately 116,746 had family incomes above 138% FPL, but no higher than 400%. 

MHP, Inc. was awarded a Federal Navigator Grant in 2013 to provide direct enrollment services and educational outreach about the Affordable Care Act to uninsured people in the RGV.  Promotores(as) de Salud were a natural fit for the job but barriers in training and certification, such as the English only, on-line modules caused unforeseen complications and delays.  The utilization of Promotores(as) de Salud is ideal for engaging difficult to reach populations such as the Valley’s uninsured.  For these programs to be successful however, there is a need for supplemental training and education activities based in popular education offered in Languages accessible to that population.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Diversity and culture
Other professions or practice related to public health
Program planning

Learning Objectives:
Discuss barriers and implications of formal certification processes for Community Health Worker Programs Describe popular education techniques and activities as supplements to formal training/certification programs. List 3 resources for CHW/Promotor(a) training development

Keyword(s): Community Health Workers and Promoters, Affordable Care Act

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Senior Managing Director for this federally funded program providing Navigator enrollment assistance in the Rio Grande Valley, Texas. I have multiple years experience working in community-based health programs, specifically working with community health workers. I received my Master of Public Health from Tulane School of Public Health and Tropical Medicine.
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.