Looking Ahead: Plans and
Priorities for MNsure Outreach
and Enrollment
June 5, 2014
Jackie Edison & Christina Wessel
what have we
accomplished?
2
Applications and Enrollment through
MNsure
250,000
213,506 applications submitted
200,000
214,194 total enrollments
150,000
100,000
Applications Submitted
50,000
May 11
April 27
April 13
March
24
March 8
Feb. 24
Feb. 8
Feb. 1
Jan. 18
Jan. 4,
2014
Dec. 28
Dec. 14
Nov. 30
Nov. 2
0
Oct. 1,
2013
Total Enrollments
Applications are for a household level, and our enrollment count is at an individual level.
3
Note: Manual QHP enrollments have been included since March 23
Enrollments by Program
May 11, 2014
140,000
214,194 Total Enrollments
MinnesotaCare
Medical Assistance
120,000
QHP Enrollments completed
119,020 individuals in
Medical Assistance
100,000
80,000
50,540 individuals
in QHPs
60,000
40,000
44,634 individuals in
MinnesotaCare
20,000
4
Note: Manual QHP enrollments have been included since March 23
May 11
Apr. 27
Apr. 13
Mar. 24
Mar. 8
Feb. 24
Feb. 8
Feb. 1
Jan. 18
Jan. 4
Dec. 28
Dec. 14
Nov. 30
Nov. 2
Oct. 1
0
MNsure Paper Applications
October 1, 2013 – May 9, 2014
MNsure Paper Applications Received: 10/1/13 - 5/9/14
5,000
4,824
4,500
43,112 total paper applications
4,000
3,755
3,500
3,000
2,799
2,500
1,852
2,000
1,980
2,151
2,099
1,930
1,580
1,500
1,102 1,151
1,000
500
13
40
93
123 146
433
410
333 305 386
312 372
248
0
Week Starting
5
2,392
2,353
2,308
1,646 1,664
1,562 1,526
1,222
Individual Market: Metal Levels
May 11, 2014
Projected Metal Level Selection
Bronze
Silver
Gold
Platinum
Actual Metal Level Selection
Catastrophic
1.0%
5%
5%
20%
27.2%
35%
12.3%
35%
6
25.9%
33.6%
working with partners
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Consumer Assistance Partners
Navigators
Certified
Application
Counselors
Agents and
Brokers
Outreach
Grantees
Application and
Enrollment Assistance
Application Assistance
Application and
Enrollment Assistance
Enroll the Hard-to-serve
No direct compensation
from MNsure
Carrier Commissions
$4 million in grants for
2015 Open Enrollment
Health Care Providers
Local Businesses
Consumer Assistance
Partners
$25 MA
$70 MCRE
($70 QHP)
Community Service
Organizations
Consumer Assistance Partner Customer Services
Navigator Relations
Community Specialists
Broker Relations
Consumer Assistance Team - Certification, Training, Enrollment Services and
Tools, Administration, Technology, Program Development, Communications
8
MNsure Navigator/CAC Program



9
Navigators are obligated to help any consumer that
contacts them successfully enroll in health plans through
the MNsure marketplace (eligible for per enrollee
payments)
 973 certified navigators, 177 navigator organizations
Certified Application Counselors (CACs) help people
apply and enroll in the context of their daily job duties (not
eligible for per enrollee payments)
 344 Certified Application Counselors, 82 CAC entities
Navigators received per-enrollee payments for
successfully enrolling more than 25,000 consumers by
March 2014.
Inverted Triangle Theory of Outreach

Navigators are particularly effective at reaching and serving
populations facing barriers to enrolling in coverage.
Targeted Populations
Hard
to serve
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Resources
One-on-one assistance
Multiple contacts
Intensive follow-up
Interventions with state and county
Requires
some help
Contact Center
Website with “help”
buttons
1-2 contacts with an
assister
Do not require much help
Application
Instructions
Website
ITTO developed by Elaine Cunningham, Children’s Defense Fund-MN
Navigator program vision
Build a navigator program where each region of Minnesota is
served by a network of entities that together can demonstrate
the following qualities:
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
Established relationships with populations facing barriers to
enrollment or renewal

Experience using effective outreach techniques

Staff skilled in assisting consumers enroll in coverage

Ability to maintain a year-round presence in al counties

Commitment to partnering with MNsure on enrollment
campaigns
Summer outreach plans
Goal of MNsure’s summer
outreach campaign is to drive
consumers to enrollment
assistance and increase
enrollment through MNsure.
Strategies including leveraging
navigators, grantees, other
allies and community partners,
and existing public events.
Target Audience are consumers facing particular
challenges to enrolling in or renewing coverage, as well
as populations with high levels of uninsurance.
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Summer outreach plans
Role for MNsure outreach liaison team
 Organize and coordinate events with partners
 Prioritizing identifying opportunities in top 10 uninsured
counties
Opportunities for navigators to partner with MNsure
 Organize and coordinate events with MNsure
 Enroll or make enrollment appointments at events
 Help identify opportunities/events
 Inform us of your events for the Enrollment Event
Calendar (900 scheduled for June!)
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Next steps for the navigator program
14

Developing performance enhancement opportunities
for navigators and CACs

Improving the navigator experience through better
communications and new technology

Facilitating relationships between consumer assistance
partners

Evaluating and redesigning the navigator program in
2015

Creating new opportunities for navigator input
questions?
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For discussion
16

What are ways we can promote the navigator program:
 To recruit new navigators/CACs?
 To inform the public about the availability of in-person
assistance?

What are ways we can improve how we communicate with
navigators?

What challenges does the navigator program face going
forward?

How can we use the navigator program to improve health
equity?