ADVOCACY AND ENROLLMENT Challenges and Opportunities

WHAT IS UHPP? Historically UHPP has been a statewide health care policy and advocacy organization focusing on needs of the underserved Last August UHPP won Utah’s largest Navigator grant and became a direct service provider The Utah Health Policy Project (UHPP) is a nonpartisan, nonprofit policy, advocacy and enrollment assistance organization.

WHAT IS TAKE CARE UTAH? Take Care Utah is a health care insurance enrollment program hosted by the Utah Health Policy Project in collaboration with partner agencies around the state of Utah.  UHPP’s Navigator program is part of Take Care Utah

UHPP AUCH / UWSL Salt Lake County: Outreach to other counties, grants Office of Health Disparities (engage CBOs serving communities of color) Refugee Assistance networks Legal service groups Health Clinics Outreach, education, policy interface, hub support Call center, point of entry, enrollment Administration, enrollment, primary care access points Other statewide networks Library Networks Anti- poverty groups THE HUB MODEL

TAKE CARE UTAH’S WEBSITE RESOURCE

CHALLENGES TO ADVOCACY AND ENROLLMENT UNDER ONE ROOF Federal Navigator Rules Navigators cannot advocate Navigators are held to privacy standards Prohibitions on collecting data Conflict of Interest requirements Impartiality Requirement Public Misperception Is UHPP an insurance plan? Does UHPP sell insurance? Political Exposure UHPP has in some ways placed an ACA target on its back Partisanship concerns

OPPORTUNITIES TO ADVOCACY AND ENROLLMENT UNDER ONE ROOF Story Banking In house Families USA partnership Synergy: Enrollment Assistors and Advocates

GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES UHPP and its navigator subgrantees hear from a broad variety of individuals but they cannot collect stories, data or even pass along names As a workaround we created a phone call triage system and the following leave behind: Tell us your story! Explain how your health insurance made a positive difference in your life! Spread the word by telling your story at: Call:

How do policy advocates help enrollment program? Running Policy Issues up the Flag Poll Website issues and work-arounds Incorrect Medicaid Determinations Legal Permanent Resident Access to Medicaid Incorrectly Reporting Income Triaging crisis: Primary Care Network Transition State licensing of CACs and Navigators Assistance with Policy issues keeps enrollment assistors focused on enrolling Motivation GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES

GENERATING SYNERGY: ENROLLMENT ASSISTORS AND ADVOCATES How does enrollment program help policy team?  Anecdotal information/data and Stories  Medicaid Gap  Enrollment Success  Strengthen standing or voice  Trusted Authority for  Builds reputation—walk and chew gum same time  Clout with media and public—young invincibles  Motivation—seeing families enrolling or falling in gap first hand lights the fire in advocates—not theoretically but in first person

SUMMARY There are significant challenges and opportunities to having enrollment and advocacy under one roof So far, the pros outweigh the cons If any questions