Effective Strategies for Affordable Care Act Enrollment in Immigrant-Serving Safety Net Clinics in New Mexico

Getrich, Christina M.; García, Jacqueline M; Solares, Angélica; Kano, Miria

doi:10.1353/hpu.2017.0063

Cited by 6 publications

(33 citation statements)

References 16 publications

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“…One rural system along the U.S.-Mexico border reconfigured the work roles of their three long-term CHWs. The CHWs were bilingual community residents who had already cultivated trust with patients through their work on other projects; leveraging this established trust was essential for enrolling high numbers of long-term LPRs who had newly become eligible for Medicaid (Getrich et al 2017). CHWs have been demonstrated to be an especially important resource for immigrants and their children in navigating complicated eligibility and benefits policies (Cacari Stone et al 2014).…”

Section: Results: Aca Implementation Experiences In New Mexicomentioning

confidence: 99%

“…Clinic systems configured their ACA enrollment strategies differently (Getrich et al. ). On one end of the spectrum, an urban AHC outpatient clinic retained the same basic clinic setup, with no additional personnel added for the ACA ramp‐up, let alone specifically tailored to the needs of their majority immigrant patients.…”

Section: Results: Aca Implementation Experiences In New Mexicomentioning

confidence: 99%

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Buffering the Uneven Impact of the Affordable Care Act: Immigrant‐serving Safety‐net Providers in New Mexico

et al. 2017

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We conducted a study in early 2014 to document how the initial implementation of the Affordable Care Act (ACA) affected health care provision to different categories of immigrants from the perspective of health care providers in New Mexico. Though ACA navigators led enrollment, a range of providers nevertheless became involved by necessity, expressing concern about how immigrants were faring in the newly configured health care environment and taking on advocacy roles. Providers described interpreting shifting eligibility and coverage, attending to vulnerable under/uninsured patients, and negotiating new bureaucratic barriers for insured patients. Findings suggest that, like past efforts, this recent reform to the fragmented health care system has perpetuated a condition in which safety-net clinics and providers are left to buffer a widening gap for immigrant patients. With possible changes to the ACA ahead, safety-net providers' critical buffering roles will likely become more crucial, underscoring the necessity of examining their experiences with past reforms.

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Section: Results: Aca Implementation Experiences In New Mexicomentioning

confidence: 99%

Section: Results: Aca Implementation Experiences In New Mexicomentioning

confidence: 99%

Buffering the Uneven Impact of the Affordable Care Act: Immigrant‐serving Safety‐net Providers in New Mexico

et al. 2017

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“…Other studies support these emerging barriers. For example, Medicaid expansion from the ACA covered fewer services than those provided by regular Medicaid (Joseph & Marrow, 2017) and safety-net providers had "no brochures or informational workshops" on how to help their patients enroll in the ACA (Getrich et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Titus

Kataoka‐Yahiro

2020

Hisp Health Care Int

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Introduction: Type 2 diabetes (T2D) is a major cause of death in the United States. Hispanics living in America suffer disproportionally with diabetes and is the fifth cause of death for them. A systematic review was conducted that highlighted barriers to access to care for Hispanics with T2D during the early years of the Affordable Care Act. Method: PubMed and CINAHL databases were searched (2010-2015) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. From 84 studies, seven qualitative/mixed methods studies were reviewed based on inclusion/exclusion criteria. Barriers were placed into three categories set a priori. Results: All study samples were from different states, representing barriers across the United States. Persistent barriers were self (100%), provider (100%), and environment (71%). Covariates (culture and genetics), individual resources (cost factors, time, and social support), lack of providers or providers specializing in T2D, and environmental factors (lack of diabetes education, nutrition, and exercise programs) were found to affect Hispanics with T2D access to care. Conclusion: Cost factors, time, lack of social support, providers, and relevant programs remain prevalent barriers. As the Hispanic population increases and changes in the health care system are evolving, additional barriers to access to care are likely to emerge and must be explored.

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“…Most of the studies identified [16][17][18][19][20][21][22] individual assistance as a key strategy used by healthcare providers and community-based organizations to help people enroll for health insurance. The terminology used to describe individual assistance varied.…”

Section: Individual Assistancementioning

confidence: 99%

“…Some assisters working for Federally Qualified Health Centers (FQHCs) and communitybased clinics (non-FQHC clinics) also engaged in community outreach. These outreach events included health education workshops and other face-to-face interactive events that enabled them to disseminate information about health insurance and enrolling for coverage [17]. Some FQHCs and community-based organizations had assistance programs prior to the implementation of the ACA.…”

Section: Individual Assistancementioning

confidence: 99%

Health insurance enrollment strategies during the Affordable Care Act (ACA): a scoping review on what worked and for whom

Ercia

Lê

2021

Arch Public Health

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Background The Affordable Care Act (ACA) provided an opportunity for millions of people in the U.S. to get coverage from the publicly funded Medicaid program or private insurance from the newly established marketplace. However, enrolling millions of people for health insurance was an enormous task. The aim of this review was to examine the strategies used to enroll people for health insurance and their effectiveness after implementing the ACA’s coverage expansion. Methods The PRISMA Extension for Scoping Review (PRISMA-ScR) guided this review. Included studies were empirical studies that met the inclusion criteria and published between 2010 and 2020. Studies were searched mainly from two scholarly databases, CINAHL Plus and Medline (PubMed) using keyword searches. Hand searches from the references of selected journals were also performed. Content analysis was conducted by two authors in which codes were inductively developed to identify themes. Results There were 2213 potential studies identified from the search, but 10 met the inclusion criteria. The research design of the studies varied. Two studies were randomized trials, one quasi-experimental trial, three mixed-methods, two qualitative and two quantitative. All studies focused on strategies used to inform and help people enroll for either Medicaid or private insurance from the marketplace. This review identified three key strategies used to help enroll people for coverage: 1) individual assistance; 2) community outreach; and 3) health education and promotion (HE&P). Conclusion Community-based organizations were likely to use a combination of the three strategies simultaneously to reach uninsured individuals and directly help them enroll for health insurance. Other organizations that aimed to reach a wider segment of the population used single strategies, such as community outreach or HE&P.

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Effective Strategies for Affordable Care Act Enrollment in Immigrant-Serving Safety Net Clinics in New Mexico

Cited by 6 publications

References 16 publications

Buffering the Uneven Impact of the Affordable Care Act: Immigrant‐serving Safety‐net Providers in New Mexico

Buffering the Uneven Impact of the Affordable Care Act: Immigrant‐serving Safety‐net Providers in New Mexico

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Health insurance enrollment strategies during the Affordable Care Act (ACA): a scoping review on what worked and for whom

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