title: Lessons from a Broad-based ACA Outreach Effort: Promises and Pitfalls.
abstract: The Marketplace Coverage Initiative (MCI) sought to expand awareness and ACA Marketplace enrollment in the greater Kansas City Area. The MCI was evaluated through interviews, surveys, and focus groups. Two main findings are particularly relevant for future Marketplace enrollment efforts. First, the link between contacting someone and actual enrollment is tenuous as follow-up is challenging. Outreach efforts that only track contacts, such as appointments and email addresses, lack information needed to assess enrollment. Linking outreach activities to enrollment outcomes leads us to a dramatically different conclusion about using big data and campaign-style tactics than evaluations of similar techniques such as that pioneered by Enroll America in 11 states. Second, there is a large chasm between the knowledge levels of the uninsured and the decisions they face on the Marketplace. Based on these findings, outreach efforts were redesigned for the 2014 open enrollment period to focus on smaller, community-driven projects.
authors.forename: Tami
authors.initials: T
authors.lastname: Gurley-Calvez
authors.forename: Jessica
authors.initials: J
authors.lastname: Hembree
authors.forename: Jane
authors.initials: J
authors.lastname: Mosley
authors.forename: Tracey
authors.initials: T
authors.lastname: LaPierre
authors.forename: Misbah
authors.initials: M
authors.lastname: Aslam
authors.forename: Emily V
authors.initials: EV
authors.lastname: Jones
authors.forename: Mary
authors.initials: M
authors.lastname: Zimmerman
mesh_terms: D062265:Health Insurance Exchanges / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D007615:Kansas; D019359:Knowledge; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration* / Q000706:statistics & numerical data*; D015397:Program Evaluation; D014481:United States