New enrollment under the affordable care act: leading the way for community health centers in Southern California
Abstract Background The Affordable Care Act (ACA) has improved healthcare access in the community health centers that have played a critical role in enrolling low income and minority patients. This study examined the ACA enrollment for one of the largest federally qualified community health centers...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3469-z |
| _version_ | 1811219244134694912 |
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| author | Omar Viramontes Michael Hochman Martin Lee Serota Elvia Delgado Gerardo Moreno |
| author_facet | Omar Viramontes Michael Hochman Martin Lee Serota Elvia Delgado Gerardo Moreno |
| author_sort | Omar Viramontes |
| collection | DOAJ |
| description | Abstract Background The Affordable Care Act (ACA) has improved healthcare access in the community health centers that have played a critical role in enrolling low income and minority patients. This study examined the ACA enrollment for one of the largest federally qualified community health centers in the country. Methods An exploratory sequential mixed method study was used as the main qualitative and quantitative approach for this study. Key stakeholders (n = 6) were interviewed as part of the qualitative component, and information about barriers and best practices were acquired. As part of the quantitative analysis, we examined cross-sectional data among 59,272 AltaMed enrollees in 2013–2015. We analyzed data on age, gender, language, ethnicity, and enrollment periods. The interviews were conducted first and followed by the data analysis. Results AltaMed was the top enroller of patients in ACA insurance plans in California (2013–14 and 2014–15) through the state exchange and Medicaid expansion. Using key stakeholder interviews, 5 main barriers were identified and 5 innovative solutions that allowed AltaMed to enroll people into the state exchange and Medicaid expansion. Barriers to enrollment included training, new workflows, and enrollment of Young Invincibles, and these enrollment barriers were overcome with community health workers. Conclusion Enrollment barriers were overcome through AltaMed’s community-based approach and long term community partnerships. |
| first_indexed | 2024-04-12T07:22:56Z |
| format | Article |
| id | doaj.art-995adacec52a40f4882dc67599027bbc |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T07:22:56Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-995adacec52a40f4882dc67599027bbc2022-12-22T03:42:16ZengBMCBMC Health Services Research1472-69632018-09-011811710.1186/s12913-018-3469-zNew enrollment under the affordable care act: leading the way for community health centers in Southern CaliforniaOmar Viramontes0Michael Hochman1Martin Lee Serota2Elvia Delgado3Gerardo Moreno4UCLA Health and Department of Medicine, David Geffen School of Medicine at UCLAGehr Family Center for Implementation Science, Department of Medicine Keck School of Medicine, University of Southern CaliforniaAltaMed, Inc.AltaMed, Inc.Department of Family Medicine, David Geffen School of Medicine at UCLAAbstract Background The Affordable Care Act (ACA) has improved healthcare access in the community health centers that have played a critical role in enrolling low income and minority patients. This study examined the ACA enrollment for one of the largest federally qualified community health centers in the country. Methods An exploratory sequential mixed method study was used as the main qualitative and quantitative approach for this study. Key stakeholders (n = 6) were interviewed as part of the qualitative component, and information about barriers and best practices were acquired. As part of the quantitative analysis, we examined cross-sectional data among 59,272 AltaMed enrollees in 2013–2015. We analyzed data on age, gender, language, ethnicity, and enrollment periods. The interviews were conducted first and followed by the data analysis. Results AltaMed was the top enroller of patients in ACA insurance plans in California (2013–14 and 2014–15) through the state exchange and Medicaid expansion. Using key stakeholder interviews, 5 main barriers were identified and 5 innovative solutions that allowed AltaMed to enroll people into the state exchange and Medicaid expansion. Barriers to enrollment included training, new workflows, and enrollment of Young Invincibles, and these enrollment barriers were overcome with community health workers. Conclusion Enrollment barriers were overcome through AltaMed’s community-based approach and long term community partnerships.http://link.springer.com/article/10.1186/s12913-018-3469-zCommunity health centers (CHC)Federally qualified health centers (FQHCs)PromotorasAffordable care act (ACA) enrollment |
| spellingShingle | Omar Viramontes Michael Hochman Martin Lee Serota Elvia Delgado Gerardo Moreno New enrollment under the affordable care act: leading the way for community health centers in Southern California BMC Health Services Research Community health centers (CHC) Federally qualified health centers (FQHCs) Promotoras Affordable care act (ACA) enrollment |
| title | New enrollment under the affordable care act: leading the way for community health centers in Southern California |
| title_full | New enrollment under the affordable care act: leading the way for community health centers in Southern California |
| title_fullStr | New enrollment under the affordable care act: leading the way for community health centers in Southern California |
| title_full_unstemmed | New enrollment under the affordable care act: leading the way for community health centers in Southern California |
| title_short | New enrollment under the affordable care act: leading the way for community health centers in Southern California |
| title_sort | new enrollment under the affordable care act leading the way for community health centers in southern california |
| topic | Community health centers (CHC) Federally qualified health centers (FQHCs) Promotoras Affordable care act (ACA) enrollment |
| url | http://link.springer.com/article/10.1186/s12913-018-3469-z |
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