Online Program

Developing resources and tools to assist outreach and enrollment of minority PLWH into ACA coverage options

Monday, November 2, 2015 : 9:10 a.m. - 9:30 a.m.

Mira Levinson, MPH, Health Services Division, JSI Research & Training Institute, Inc., Boston, MA
Molly Higgins-Biddle, MPH, Health Services Division, JSI Research & Training Institute, Inc., Boston, MA
Stewart Landers, JD, John Snow Research and Training Institute, Boston, MA
Karen Schneider, PhD, JSI Research and Training Institute, Inc., Boston, MA
Lori Nichols, MPH, John Snow, Inc., Denver, CO
Juli Powers, MPH, Health Services Division, JSI Research & Training Institute, Inc., Atlanta, GA
Bisola Ojikutu, MD, MPH, Health Services Division, JSI Research & Training Institute, Inc., Boston, MA
Background: Racial/ethnic minorities living with HIV are more likely to be uninsured than whites living with HIV and are disproportionately served by the Ryan White HIV/AIDS Program (RWHAP). The Affordable Care Enrollment (ACE) Technical Assistance (TA) Center used results of a national needs assessment (NA) to guide development of responsive, tailored job aids for case managers assisting minority PLWH with ACA enrollment.

Methods: A structured NA was conducted during the first Marketplace open enrollment period (December 2013) to explore RWHAP grantees’ and providers’ enrollment capacity and cultural competency. Based on responses, the project developed culturally and linguistically competent activities including eight webinars, 12 tools and three web resource pages. Success was measured through qualitative feedback, process metrics, participant ratings of tool usefulness and intention to use and share tools (1=low; 5=high).

Results: NA findings showed limited of knowledge about ACA coverage options, client concerns about getting insurance, and the need for guidance on policies and best practices. Between July 2014 and January 2015 there were 1712 unique downloads of ACE tools, and 638 de-duplicated individuals participated in webinars. Average post-training evaluation scores included “usefulness of information for your work” (n=386; average score = 4.3), “likelihood of using one or more tools presented” (n=288; average score = 4.1), and “likelihood of sharing one or more tools presented” (n=288, average score = 4.2).

Conclusions: Culturally and linguistically appropriate education, materials and training, designed to build capacity for enrolling minority PLWH, were successful in responding to the needs articulated by RWHAP grantees and providers.

Learning Areas:

Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Discuss and implement culturally competent strategies for outreach and enrollment. Identify and describe unique concerns and challenges regarding the enrollment of people of color living with HIV/AIDS into ACA insurance options. Formulate strategies regarding how to expand insurance coverage for diverse clients, particularly people of color, living with HIV/AIDS.

Keyword(s): HIV/AIDS, Affordable Care Act

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Mira Levinson, MPH, is the Affordable Care Enrollment (ACE) TA Center Project Director. She has been providing on-site and distance-based technical assistance to Ryan White HIV/AIDS Program grantees since 1998, developing and disseminating TA products, and designing and implementing monitoring and reporting systems.
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.