title: Participatory evaluation of a community mobilization effort to enroll Wyandotte County, Kansas, residents through the Affordable Care Act.
abstract: Successful implementation of the Affordable Care Act (ACA) depends on the capacity of local communities to mobilize for action. Yet the literature offers few systematic investigations of what communities are doing to ensure support for enrollment. In this empirical case study, we report implementation and outcomes of Enroll Wyandotte, a community mobilization effort to facilitate enrollment through the ACA in Wyandotte County, Kansas. We describe mobilization activities during the first round of open enrollment in coverage under the ACA (October 1, 2013-March 31, 2014), including the unfolding of community and organizational changes (e.g., new enrollment sites) and services provided to assist enrollment over time. The findings show an association between implementation measures and newly created accounts under the ACA (the primary outcome).
authors.affiliation: Stephen B. Fawcett and Charles E. Sepers are with the Work Group for Community Health and Development, a World Health Organization Collaborating Centre, University of Kansas, Lawrence. Jerry Jones and Lucia Jones are with Enroll Wyandotte and its parent organization, the Community Health Council of Wyandotte County, Kansas City, KS. Wesley McKain is with Healthy Communities Wyandotte, Kansas City.
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Fawcett
authors.forename: Charles E
authors.initials: CE
authors.lastname: Sepers
authors.forename: Jerry
authors.initials: J
authors.lastname: Jones
authors.forename: Lucia
authors.initials: L
authors.lastname: Jones
authors.forename: Wesley
authors.initials: W
authors.lastname: McKain
mesh_terms: D057191:Capacity Building; D005260:Female; D006302:Health Services Research; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence*; D007615:Kansas; D008297:Male; D058991:Patient Protection and Affordable Care Act