Online Program

Oral

The successful rollout of the Affordable Care Act’s 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 ACA’s 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 ACA’s 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.

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