142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

312083
Applying a health equity report card to measure and monitor state marketplace progress in outreach and enrollment

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 4:50 PM - 5:10 PM

Dennis P. Andrulis, PhD, MPH , Senior Research Scientist, Texas Health Institute, Austin, TX
Nadia J. Siddiqui, MPH , Texas Health Institute, Austin, TX
Lauren Jahnke, MPAff , LRJ Research & Consulting, Austin, TX
Maria Cooper, MA , School of Public Health, University of Texas Health Science Center, Austin, TX
Swapna Reddy, JD , Texas Health Institute, Austin, TX
Given nearly half of those eligible for coverage through health insurance marketplaces will be individuals of diverse racial/ethnic heritage, monitoring how marketplaces work to educate, reach, and enroll these populations is critical to assuring success. Early enrollment data suggest that states are already facing significant challenges. For example, in California, whereas half of Hispanics are eligible for marketplace insurance, by December 2013, approximately 20% enrolled. With support from the W.K. Kellogg Foundation we are developing a Health Insurance Marketplace and Health Equity Report Card prototype intended to document state progress in meeting marketplace requirements around equity, diversity, and cultural/linguistic competency to effectively reach diverse communities and achieve enrollment targets. The study design involves the development of structure, process, and outcome indicators to measure the extent to which equity is addressed or integrated across five functions: leadership and governance; exchange mission and design; navigator and assister program; outreach and enrollment; and evaluation. The prototype will be tailored to state-run, partnership, and federal marketplaces and its administration will be pilot-tested in at least one state. This session will present the report card prototype, offering explicit examples of measures for evaluating state health equity progress in the marketplace. It will also discuss preliminary findings from a pilot administration of the report card, offering initial guidance and lessons for states interested in carrying out such an assessment. The session will close with next steps in report card application and dissemination and related discussion of emerging models for advancing equity through the marketplace.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture

Learning Objectives:
Discuss emerging trends in how different health insurance marketplaces—state-run, partnership, and federal—are specifically addressing health equity. Describe specific structure, process, and outcome measures of equity/diversity across the various functions of the marketplace—e.g., leadership and governance, mission and design, navigators and assisters, outreach and enrollment, and evaluation. Offer initial guidance on the value of such assessments and on how to carry out a report card review in states varying in type of marketplace, as well as provide recent and real time innovation updates to assist in this process.

Keyword(s): Affordable Care Act, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as Principal Investigator on this and many other projects at the Texas Health Institute on the Affordable Care Act and Health Equity. I have been in the health disparities/cultural competency field for over 20 years, and frequently present and write on this topic at various scientific venues.
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.