142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

4411.0
Health Equity and the Affordable Care Act: Potential, Progress, and Reality in Enrollment and Access to Care for Racially and Ethnically Diverse Communities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014: 4:30 PM - 6:00 PM
Oral
The successful rollout of the Affordable Care Actís many health insurance and access to care provisions largely hinge on the inclusion and participation of racially and ethnically diverse communities. Over 19 million diverse and uninsured individuals stand to benefit from the ACAís various insurance expansions, however early reports indicate that marketplaces are falling short of targets for enrolling these populations, while states not expanding Medicaid are leaving many low-income, diverse individuals disenfranchised. At the same time, many safety-net providers have a particularly daunting charge ahead as they seek to survive and thrive by working to attract newly insured patients while continuing to serve the remaining uninsured in a competitive environment with many new delivery reform opportunities as well as major financial threats such as federal payment reductions. This session will offer two timely presentations on the ACAís progress in advancing health equity through health insurance and safety net provisions. Additionally, two presenters will describe experiences with coverage among Native American communities, as well as the impact of the ACA on a Latino community clinic. Following will be an interactive discussion on consideration and application of emerging models and lessons learned for different state and local circumstances.
Session Objectives: (1) Identify progress, opportunities, and lessons learned in health insurance marketplace outreach and enrollment of racially and ethnically diverse communities. (2) Identify specific structure, process, and outcome measures for assessing health insurance marketplace progress in addressing and integrating health equity in its structure, governance, staffing, navigator/assister programs, outreach and enrollment, and evaluation functions. (3) Describe the opportunities, challenges, and emerging models of transformation and adaptation across safety-net hospital systems varying in financial performance, patient demographics, and political contexts.
Moderator:
Sandra Brooks, MD MBA

4:50pm
Applying a health equity report card to measure and monitor state marketplace progress in outreach and enrollment
Dennis P. Andrulis, PhD, MPH, Nadia J. Siddiqui, MPH, Lauren Jahnke, MPAff, Maria Cooper, MA and Swapna Reddy, JD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Community Health Planning and Policy Development
Endorsed by: Black Caucus of Health Workers, Community-Based Public Health Caucus

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH) , Masters Certified Health Education Specialist (MCHES)