"Outreach & enrollment" means much more than putting up posters and helping people fill out MassHealth applications. Recently, over the course of a two hour appointment, my supervisor and I counseled one household on eleven different public health insurance, subsidy and care programs. We helped them file four separate applications to five different insurance programs, putting together a patchwork of care options to cover the hole left by the loss of employer-sponsored insurance.
Our June 6 Western HAN meeting was an opportunity to step back and reflect on the next steps toward universal coverage in Massachusetts.
This month, outreach workers gave some powerful examples of how the Commonwealth Care Open Enrollment process has added some new twists to the problem of access to providers.
Our last Boston HAN meeting came in the wake of the Connector Board’s decisions to shift more of the costs of Health Care Reform to consumers by raising co-pays and premiums for Commonwealth Care. Advocates continue to oppose these cost increases and push for sharing the costs more evenly with businesses. Meanwhile, outreach and enrollment workers are seeing an increase in administrative barriers to enrollment in Commonwealth Care and MassHealth.
A new pamphlet offers step-by-step guidance, just in time for taxes.
Outreach workers do the hard work of explaining policy changes to real people, so often they are among the first to hear feedback about how they are working. Not surprisingly, this was a theme of the Western Mass. Health Access Network meeting this February, when we gathered with outreach and enrollment workers from Berkshire, Franklin, Hampshire and Hampden counties. HAN members doing enrollment agreed that there is still confusion and frustration in their communities.
The Connector recommends hikes in Commonwealth Care co-payments.
During the recent round of MassHealth Training Forum meetings, we were informed that commercial fishermen who are eligible for the Fishing Partnership Health Plan are not eligible for Commonwealth Care, because they are eligible for another state-subsidized health plan. The non-profit FPHP is a fine program offering a great benefit package through Harvard Pilgrim. The premium subsidy of approximately 50% is funded by a combination of federal, state and private benefactor dollars. This is a great option for many fishermen.
Clients at risk of losing coverage may apply for assistance.
It's been reported that over the past year more than about 200,000 Massachusetts residents have been provided access to comprehensive public health insurance: either through Commonwealth Care or MassHealth. What about those who aren't eligible for publicly subsidized programs and must enroll in employer-sponsored plans?
The increased cost of insuring employees and their families has forced many local employers to make hard choices about their insurance offerings.
