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RWJF Grantees Help Shore Up Enrollment in the Health Care Marketplace (Research Brief)
Publisher: Ann Arbor, MI: Mathematica Policy Research
Jun 20, 2018
- Navigator budget cuts forced Navigator organizations to cut staff and resources, resulting in reduced institutional knowledge, uneven geographic coverage, and difficulty engaging hard-to-reach populations. To address these challenges, Navigators relied more on volunteers and partners, offered overtime pay to expand availability, and triaged consumers who needed help with non-marketplace enrollments to local health centers.
- Efforts to bolster the enrollment infrastructure, such as those supported by RWJF, were critical; Navigators and assisters also relied heavily on the networks, coalitions, partners, and online tools previously developed to create efficiencies.
- RWJF funding made a major difference to grantees and subgrantees; without it, some groups would have had no budget for outreach and enrollment work, whereas others would have been unable to engage at the same level.
- Total enrollment for 2018 in federally-facilitated marketplace states declined by about 5 percent from 2017, but given the lack of resources and shortened enrollment period, most respondents interpreted this as a win. Enrollment outcomes don’t suggest a direct correlation between Navigator budget cuts and declines in enrollment.
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