Daphne PieProgram ManagerPublic Health-Seattle & King County(206) 263-8369Daphne.pie@kingcounty.gov

King County Context

State-based exchange

Expanded Medicaid

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Washington State

King County

1.8 million people; 39 cities

Public Health-Seattle & King County:

10th largest health department

Lead In-Person Assister Organization for

King County region

Overview of Enrollment Efforts

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Targeted Outreach

Build Public Awareness

Utilize Existing Communication

Channels

Reach Uninsured

Where They Live

In-Person Assistance

Host Enrollment Events

Strategies

• Identify uninsured and the barriers they face

• Developed tailored strategies for reaching the uninsured

• Build the campaign with trusted community partners

Uninsured countywide: 3% - 30%

Overall: 16%

2012Health insurance access

Source: BRFSS 2008-2012

Digger Deeper into the numbersAlthough King County had an overall uninsured rate was 16% (lower than the national average of 21%)--when you dig deeper into the numbers the picture was different:

Additional Outreach and General Awareness Strategies

Vocational Institute

Douglass Truth Library

Plymouth Housing

Youth Outreach

Bus AdsBusiness Outreach

New Outreach Locations

Center for Multi-Cultural Health Gay City

Existing Enrollment Sites

Public Health Country Doctor FQHC YWCA

Example: Central Seattle Uninsured<138%: 5,453

138 – 399%: 4,934400% +: 1,677

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Population focus Geographic area

• Asian/Pacific Islander • Latino/ Hispanic • Black/African American • Special populations• 34 Languages

All of King County with a focus on:• Central Seattle• South Seattle• North Seattle• South King County• Rural King County

In-Person Assister Network23 organizations with plans to reach diverse groups across King County

• Country Doctors/DESC• Ctr for Multi-Cultural Health• Plymouth Housing• Gay City/SeaMar• International Community

Health Center• North Human Services• Open Arms/Seattle Indian

Health Board• Asian Counseling & Referral

Services• Cierra Sisters/Friends of Youth• Global2Local• NeighborCare• Healthpoint• YWCA• Denise Louie/WithinReach• Solid Ground• World Relief• Washington CAN• Valley Cities

Memorandum of Understand (MOU’s)• We also have 22 MOU’s with agencies doing enrollments • without any financial reimbursement. • This includes the hospitals in King County.

Leadership CircleTo maximize enrollment, the King County Executive created a Leadership Circle to help shape outreach strategies:

• Health sector – Tom Gibbon, manager of the Community Specialty Clinic at Swedish Medical Center,

• Business sector – Maud Daudon, President and CEO of the Seattle Metropolitan Chamber of Commerce, and

• Non-profit sector – Gordon McHenry, Jr., Executive Director of the non-profit Solid Ground.

The purpose of the circle was to : • Support efforts of hospitals and other health care providers to enroll

patients and clients;• Work with community-based organizations and local businesses in

communicating this information and enrolling employees; • Work with community organizations to reach traditionally harder-to-reach

communities such as homeless persons and people who do not read English• Washington State Public Health Association recognized the Leadership as

Health Champions during National Public Health Week in April 2014.

Collaboration Is Essential

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Partners in this effort include:

• King County Cities & Seattle• Health care partners• Human service agencies• Colleges/universities/tech

schools/high schools• Libraries• Community centers• Housing providers

• Services providers for the homeless

• State agencies• Criminal justice system• Business• Labor• Faith-based organizations• Foundations• More to come…

Enrollment Events

October 1 Launch Event

October 5 Garfield High School Enrollment Event

October 12 Third Place Commons Enrollment Event

October 19 Crossroads Mall Enrollment Event

October 26 Kent Commons Community Center Enrollment Event

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Public Awareness– Website, IPA website & Social media – blog, text

alerts, Facebook, Twitter, Flickr, emails

– Translated Materials for distribution

– NEW! Share text message program: Text KING + ZIP code to 468311 for help nearby

– Elected official briefings• 30+ cities in King County, federal and state

delegation

What have we done so far?

Website & SocialMedia

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• Website: www.Kingcounty.gov/coverage

• King County Blog: “Coverage is Here” King County”

www. coverkingcounty.com

• Media toolkit: Facebook, Twitter, Key Messages!

• King County Executive Leadership Circle (leaders from local business, health & nonprofit organizations, education)

Content: Social Media & More

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Social Media Content Spread the word on social media

with these sample posts.

Facebook Not sure what health reform is all about? Watch this great video from the Kaiser

FamilyFoundation. http://bit.ly/121433h

Uninsured? Save-the-date: Starting 10/1, you can find health

insurance in-person, online, and over the phone. http://1.usa.gov/190qzH5Â

Starting 10/1 WAHealthplanfinder.org will offer a brand new way to find, compare

and enroll in new & enhanced insurance plans. Countdown to coverage: Open

health care enrollment starts Oct. 1. Find out more at WAHealthplanfinder.org.

The 411 on health reform, with timeline. Good basic info to share. http://1.usa.gov/1cKJSKJ

Twitter Starting 10/1, find a health care plan that fits your needs and budget at wahealthplanfinder.org #cover

kc #coverageishere

August 2013

Increasing access to health coverage in King County This fall we have an opportunity to enroll about 180,000 uninsured King County residents in free or low-cost health insurance. Each month, we will send you an updated Coverage is Here King County tool kit with information you can share with your community, including newsletter articles, social media content and up-to-date information about enrollment efforts in King County. If you have questions or suggestions for future content, please contact Katie Ross. Thanks for your help in spreading the word!

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__ Key Messages

Starting this fall, about 180,000 King County residents will be able to enroll in new free or low-cost insurance options. [Find numbers for your community here.]

Washington Healthplanfinder will give residents a new way to find, compare and enroll in insurance that meets their needs and fits their budget.

Free or low cost coverage is available. Enrollment begins on Oct. 1, 2013 for coverage that begins

Jan. 1, 2014. Assistance will be available in our community for anyone

who needs help enrolling.

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In-Person Assister Network enrollments

• The Exchange set our enrollment targets at 19,890.

• Here are the enrollment numbers through 08/31/2014:

HPF Enrollment Data October 1, 2013-July 31, 2014

Apple Health Renewals

Apple Health New

QualifiedHealth Plans Total

Public Health Seattle King County 27,501 65,770 11,413 104,684

Enrollments by race for IPA Network

Included in

Total

numbers

Total for Public Health Seattle King County

Not including Not Reported

Total

Number

Percent

of Total Total Hisp % Hisp

White 20307 21% 3396 17%

Alaska Native 65 0% 8 12%

American Indian 1092 1% 101 9%

Asian 14501 15% 133 1%

African American 15394 16% 261 2%

Hawaiian 115 0% 17 15%

Pacific Islander 2892 3% 127 4%

Other 11696 12% 7342 63%

Unreported 30063 31% 7118 24%

Total 96125 100% 18503 100%

*8,559 did not report race

Overview of approach for 2014-2015 Open Enrollment

• Emphasizes what worked last time & anticipate what types of assistance residents will need

• People need technical assistance!!

• Help clients with Apple Health & QHP Renewals

• Continue outreach to our targeted communities

• Work in the 9 communities that languages are not supported by the Exchange: Purepecha, Japanese, Arabic, Punjabi, French, Tigrigna, Burmese & Swahili

• Community Blitz & 4 Large enrollment events

• Develop our partnerships for long term sustainability.

Questions & Discussion

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