Table 2 Top 5 challenges and solutions to increasing ACA enrollment per stakeholder interviews
Obstacles | Innovative Solutions |
|---|---|
Lacked data/reporting infrastructure | Collaboration between different departments. The information technology (IT) department and enrollment teams built the necessary structure to gather the enrollment data of community members. |
The Covered California Training Module was insufficient | AltaMed’s Supplemental Training Module – allowed enrollment counselors to be equipped to be deployed to the community. 1st Year: Lean Teams (each person was specialized in a few sections of the application). 2nd year: Core Team (each member handled the entire application) |
Productivity vs. Personalized Care | A specific target time was given to enroll a person, but more time was provided if needed. |
New Application/Procedure to enroll people into Healthcare insurance (i.e. Covered California) | Coordination was key: Staff (i.e. IT), trainings, enrollment events (e.g., Saturday events in middle schools, 5 k races) and other partners (e.g., churches, schools). |
Young Invincibles (young college students) | AltaMed, jointly with AmeriCorps (i.e., young college graduates) utilized a combination of personal connections, the benefits of having health insurance, and outreach to enroll students and their families at CSU campuses. |