According to Cindy Zeldin, with healthcare consumer advocacy group Georgians for a Healthy Future, one of the biggest impacts this state would feel is from a major shift in the…
Blog (October 2016)
The Senate Opioid Abuse study committee has begun to flesh out key issues and considerations to draft recommendations for an omnibus bill that includes prevention, treatment, regulatory and enforcement and budgetary provisions to address Georgia’s opioid crisis GHF is encouraged by the committee’s focus on prevention as we have been raising awareness of the need to view substance use disorders as a public health issue that warrants prevention through our Somebody Finally Asked Me campaign. More specifically, we have been advocating for wider use of screening tools such as Screening, Brief Intervention and Referral to Treatment (SBIRT) for youth.
While the committee did not discuss SBIRT, over the past two meetings, the committee heard from hospital systems, pharmacists, the Georgia Division of Family & Child Services (DFCS) and substance abuse research experts on other steps the state could take.
- Increasing funding and wider promotion of substance abuse education with a focus on opioid use in schools and restoring some public health funds.
- Improving provider education and training around prescribing, especially for pregnant women, and educating patients on prescription drug use.
- Increasing access to drug treatment programs for pregnant women, allowing the sale of narcan over the counter, and adding buprenorphine to the Medicaid formulary.
- Promising protocols and programs that hospitals and emergency departments could implement to improve care delivery for chronic pain management, and children with neonatal abstinence syndrome and their mothers.
- Current initiatives and ways to improve state and agency-level policies to improve response systems for law enforcement and child welfare services.
Presentations from Northside Hospital, Augusta University, DFCS, Tanner Health System, and the Georgia Substance Abuse Research Alliance are available upon request. The committee plans to dive deeper into analysis of law enforcement policies, therapeutic services and recommendations for budget appropriations during the upcoming meetings. GHF will continue to advocate for the committee to consider additional prevention methods in its recommendations. We have requested to present recommendations to activate Medicaid codes to promote the use of a substance use screening tool called SBIRT (Screening, Brief Intervention, and Referral to treatment) at the next committee meeting and are awaiting a response. The next committee meeting is scheduled for November 9, 2016 at 1:00 PM at the Capitol. Stay tuned for more updates and information!
October is Breast Cancer awareness month and at Georgians for a Healthy Future we are committed to helping women access essential cancer screenings, including mammograms to detect breast cancer, through working to ensure that all Georgia women have access to health insurance. Uninsured, low-income women often face financial barriers to receiving recommended screenings for breast and cervical cancer and in Georgia, minority women face additional breast cancer disparities. However, research has shown that women who live in a state that has expanded Medicaid are more likely to get a mammogram than women that live in a non-expansion state. In 2008, women in every state had the same likelihood of getting a mammogram, but in 2015 a study found that women in expansion states were 25% more likely to get screened. As you can see, expanding Medicaid allows women to get the potentially life-saving preventive care they need. So for all the women in your life, please sign our petition to close the gap here.
But it doesn’t have to be that way.
As we approach the 2017 legislative session, we have the opportunity to close the coverage gap and ensure that some becomes all. Check out our new video about the Georgians stuck in the coverage gap and our opportunity to close it.
Today, we are asking that you be a part of the movement and contribute $25 to our campaign to close the coverage gap. Your contribution will allow us to travel across the state meeting with and raising up the voices of Georgians in the gap. It will fund our media efforts so that everyone, from Blueridge to Bainbridge, will know that these people can’t wait. The time to close the coverage gap is now.
Georgians for a Healthy Future is now several weeks into our training partnership with Enroll America. As you might recall, Enroll America selected GHF as the first organization, nationally, to participate this year in the Leadership Academy in a train-the-trainer model. Enroll America is using the Leadership Academy train-the-trainer model to disseminate their expertise on how to conduct trainings with Enroll America information in order to reach a wider audience.
We have covered topics including list building, reaching the remaining uninsured, and how to design a follow up program. Pranay Rana, GHF’s Consumer Education and Enrollment Specialist, is currently planning several trainings that will take place in October to start the process of imparting our new knowledge to partner organizations. We will also be adding some of the Enroll America training content to our GEAR emails, so keep an eye out for new information on best practices for reaching uninsured consumers, building an outreach plan, and more!
If you have any questions or would like to learn more about the partnership please reach out to Pranay.
Direct consumer support plays an important role in assisting consumers to enroll into and maintain their health coverage. Georgians for a Healthy Future, primarily a health advocacy organization, provided direct enrollment services to Georgians in the last two open enrollment periods through enrollment events, in-person appointments, phone assistance and referrals. GHF continues to engage with other enrollment entities through its Georgia Enrollment Assistance Resources (GEAR) network which is a central hub of Marketplace resources, and provides technical support to assisters through newsletters, e-blasts, trainings, webinars, and forums.
In OE3, GHF primarily focused on post enrollment work undertaking more complex consumer cases such as resolving coverage issues with the Marketplace and insurance providers, payment issues, tax filing and reconciliation issues, and issues with supplemental documents. In this role, GHF provided crucial support to consumers and enrollment assisters to resolve these types of issues and help consumers maintain their coverage.
Here is what our consumers reported about their experiences
GHF conducted a post-enrollment consumer satisfaction survey with 25 consumers between April and July 2016. The survey participants reported that they sought a combination of services during their appointments. The table below provides the details for each type of post-enrollment assistance.
Twenty-four out of 25 (96%) participants reported that they were able to resolve the issues that they sought assistance for, as explained by these quotes…
“Paid my premium, sent supplemental documents, added two kids to the application, received delayed cards” – Res# 1, Female, 30.
“My coverage had been suspended for over a month due to a technical issue. GHF helped me reinstate my suspended insurance by advocating on my behalf with both Marketplace and Ambetter. My benefits were reinstated within 3 business days”— Res# 16, Female, 62.
GHF Success Stories:
Tony Caldwell, a consumer with disability, was waiting to get his power wheelchair for over a year. With direct enrollment support from GHF, he was able to get his application completed during SEP and select a plan that covered his wheelchair. Tony quotes, “I finally ended up getting my power wheelchair that I had been waiting for over a year. It has helped me from passing out. Thanks to you all.”
Clyde Mohammed and his wife Sharda (West Indian couple) came to renew their marketplace plan at Switzer Public Library in Marietta. They also wanted to change their current plan since the premium was going up in 2016. Assisted the consumers to complete their application. They were found eligible for subsidies. They enrolled into a health plan with $57 monthly premium and $600 family deductible. The family was able to save over $150 in monthly premium by switching their plan.
The majority of the participants reported the Marketplace application process to be very complicated and that they couldn’t have resolved their issues without the help of an enrollment assister. Those participants who found the process to be comfortable reported the assistance they received to be the key reason. Participants also reported that the education from enrollment assisters made it easier for them to understand and use their new health insurance.
Trends from our direct consumer support experiences and those we have heard from our partners suggested that direct enrollment assistance was crucial for consumers in making enrollment decisions as well as tackling post-enrollment issues. Direct assistance will continue to be crucial for consumers, both new enrollees and re-enrollees, in the days to come as there will be changes in participating insurance providers, premium price, and personal details such as household size and income all of which will require enrollment assisters’ expertise.