April 2016 Nav & CAC Record by Healthcare Collaborative of Greater Columbus

Navigator & CAC Learning Group April 14, 2016 Work Session Record Meeting Participants  Kathryn Bamberger, Southeast, Inc.  Ambur Banner, Ohio Department of Health  Jodi Blacksher, UnitedHealthcare  Nita Carter, UHCAN Ohio  Clinton Dashiell, Cognosante  Erinn Garrison, Ohio Association of Foodbanks  Cortney Guelker, Ohio Association of Foodbanks  Jahi Harvey, Franklin County Department of Job & Family Services

Coordinated by:

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Kendra Kelso, PrimaryOne Health Raymona Lacy, Ohio Association of Free Clinics Althea Letang, Franklin County Department of Job & Family Services Nicole Miller, PrimaryOne Health Teresa Rios-Bishop, Ohio Association of Community Health Centers Kenisha Sanders, Enroll America Michelle Taylor, Franklin County Department of Job & Family Services Arlene Vance, PrimaryOne Health

Presentation: Updates from Franklin County Department of Job & Family Services Jahi Harvey, Franklin County Department of Job & Family Services Michelle Taylor, Franklin County Department of Job & Family Services Representatives from the Franklin County Department of Job & Family Services presented on requirements and steps that need to be taken to avoid being penalized on your taxes for not having insurance. This presentation included a review of the 1095-B tax form. Jahi and his colleagues offered to follow up on some key questions raised during the discussion and report back to the group. Additional information will be shared when it becomes available. Some key contact information shared during the presentation is listed below.  Jahi Harvey - wjmhfa@fcdjfs.franklincountyohio.gov  Customer direct line for assistors – partners@fcdjfs.franklincountyohio.gov or (614)212-1839 Work Session: Reflecting on the latest open enrollment period Group participants were asked to spend time in small groups reflecting on key learning from the latest open enrollment cycle. Groups were then asked to share their key reflections with the group. What are the key lessons learned from the latest open enrollment period?  Cases were more complicated.  Consumers were more informed this time around.  Continuing education and communication.  Deadline December – influx of enrollment thinking it was the last time to enroll.  Education of CACs and consumers.  Estimation tool was great!  Follow up with the cases.  Harder cases.  How to help consumers look at their deductibles, co-pays, premiums and see if it would work in their life that plan and affordability.  Immigration/communication barrier 1

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Learning about helping to give more education. More informed – penalty. Must educate consumers on how information is transmitted from healthcare.gov Navigators were more knowledgeable. Partnerships were key. Preparing customers to bring passwords/credentials prior to starting application process. Preparing people for meeting to bring their password. Properly counting assists/enrollment. Recognize that there are a lot of following calls to assist clients. Third party websites and brokers posing as healthcare.gov User name and password is important for a faster processing time.

What areas does the region need to focus on moving forward?  Advertise about healthcare.  Better information to health systems—get them to participate and engage locally.  Continued education on how to maintain this coverage and avoid disenrollment.  Continuing education on health literacy.  Coordinated approach for harder-to-reach populations.  Education  Education on coverage (redeterminations) and reporting changes.  Engaged in more education.  Filing promptly people’s cases so they don’t prolong their care.  Follow up in helping consumer be aware of healthcare.  Hire more people.  Invite more organizations to the meetings to give their input.  Messaging  More health system attendance would be good.  More partnerships  Notifying us with any updates/changes to extensions.  Penalty increase—communication and awareness  Specifics of special enrollment and changes. Planning for next steps of the learning group What meeting schedule should the group utilize moving forward? Same schedule – one meeting per month between Aug and April One meeting every other month (June, Aug, Oct, Dec, Feb, Apr) Quarterly – one meeting every quarter Other

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Please list the topics you would like the group to focus on moving forward.  Bridging the communication gap between Medicare and Navigators. Creating a point of contact to streamline the communication process and better equip the Navigators to assist customers.  Change in the Medicare spend down  Connecting individuals with chronic diseases to healthcare coverage.  Discussion of healthcare topics in general for children and families in various settings.  GC Connector update.  Health disparities and insurance coverage/access to care  Health insurance literacy  Health literacy  Health plans available via Marketplace/Medicaid  Healthcare education  Healthcare literacy  How to properly submit documentation to ODJFS. Uploading on benefits.ohio.gov, or faxing it doesn’t seem to work.  Immigrant documents  Immigration  Immigrants  Immigrants (eligibility and identity issues)  Immigrants (literacy, eligibility, community newspapers)  Lunch and learn of some of HCGC workshops  Managed care plans coverage for individuals with chronic diseases.  Media exposure: how and what we can do to make the public aware about the schedule time to look and their healthcare need.  Medicaid status/updates  Medicaid changes  Medicare changes  More educational opportunities around communicating recourses and other aspects of healthcare.  Newly insured story collection  Options on marketplace for immigrants not yet eligible for Medicaid, but under 138% FPL  Outreach to immigrant communities.  Outreach to schools  Outreach to schools/health centers/churches/etc.  PCMH – Would be nice to know or be informed.  Process of once you submit full med app to ODJFS  Regional communication of navigator enrollment schedules, dates, fliers, etc  Sub committees with tasks/projects/calls to action  The uninsured universe.  Ways on how to empower, or better prepare consumers on how to access info for themselves.

Meeting Evaluation Very High Value

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Please share key reflections or comments you have regarding the Navigator & CAC Learning Group and/or today’s session.       

Being able to share and glean information and best practices is great! Great discussion, informative. It would be great if tracking was available for the # of individuals with asthma who were/are enrolled in healthcare coverage previously and moving forward. Thanks for bringing someone from Ohio Medicaid. It was most helpful and I would love to see them more often. Very appreciative of Franklin County JFS participation and engagement. Very informative and insightful Would like to see more small group discussion of “on-the-ground” issues.