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U.S. Department of Health and Human Services

Office of Minority Health

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New Hampshire Voices for Health

Concord, NH 03301

Project: New Hampshire Partnership to Increase Coverage in Communities of Color

Amount of OMH Award: $241,166

Project Abstract
New Hampshire Partnership to Increase Coverage in Communities of Color is intended to increase access to healthcare for Latinos and African Americans in New Hampshire by increasing their awareness of the benefits and requirements of the Affordable Care Act (ACA), and increasing their enrollment in the Health Insurance Marketplace and Medicaid/Children’s Health Insurance Program (CHIP). The lack of health care access has an impact on achieving health equity. In New Hampshire, approximately 11 percent of the state population was uninsured prior to implementation of the ACA. The lack of insurance can be largely attributed to difficulty navigating the health insurance system, lack of affordable health insurance, lack of employer-sponsored health insurance in low-wage jobs, and health insurance challenges among small businesses. Uninsured rates for minority residents are higher than for non-minority residents, with 35.8 percent of all minority men and 18.8 percent of all minority women uninsured. Over half of the Hispanic men in the state lack health insurance, and Hispanic residents of New Hampshire are 2.2 times more likely than Caucasians to not have a personal health care provider or lack health insurance coverage.

New Hampshire Voices for Health will identify and implement culturally and linguistically appropriate communications strategies to effectively reach Latinos and African Americans with information about the Marketplace and Medicaid/CHIP. Interventions will include: deploying a team of four community-based Outreach and Enrollment Workers (OEWs) from two project partners (New Hampshire Alliance for Immigrants and Refugees and the Ujima Collective) to conduct education sessions about Marketplace and Medicaid/CHIP and enroll individuals who qualify for coverage; utilizing radio and television outreach; convening a Minority Outreach and Enrollment Team; and coordinating the Consumer Assistant Task Force (CATF). The Minority Outreach and Enrollment Team will include the Project Coordinator, the project’s OEWs, and other bilingual/bicultural consumer assistance staff serving Latino and African American populations from other partner organizations, such as the Manchester Community Health Center, Harbor Homes, and Lamprey Nashua. The team will meet six times per year to share best practices, coordinate strategies, and maximize outreach and enrollment efforts. The CATF will convene consumer assistance entities and networks to help build capacity for organizations throughout the state to support ACA-related efforts and effectively reach, serve, and enroll minority populations.   

Expected outcomes for this project include:

  • Increasing the number of minorities/Latinos and African Americans who are more aware of the benefits and requirements of the ACA, including options for coverage through the Health Insurance Marketplace and Medicaid expansion, and how to enroll among those to whom outreach is provided;
  • Increasing the number of minorities/Latinos and African Americans enrolled in the Marketplace or Medicaid/CHIP; and
  • Enhancing outreach and enrollment efforts from mainstream organizations engaged in Marketplace and Medicaid/CHIP efforts to better serve minority populations.

Performance measures for this project include:

  • Number of people served through outreach efforts (by race/ethnicity, gender, age, language);
  • Number of individuals enrolled in the Marketplace or Medicaid/CHIP;
  • Number of mainstream organizations using interpreters, communicating with ethnic outreach workers, and/or using culturally and linguistically tailored materials promoted by the project; and
  • Number and type of Marketplace education and enrollment assistance activities promoted through CATF members’ websites, newsletters, etc.

The project evaluation will use both quantitative and qualitative measures to assess outputs, objectives, and outcomes that relate to the identified project activities as well as the larger goals. The OEWs will track outreach including the dates and locations of sessions, the methods by which the session was promoted, and the number of participants who attended and received information. Additionally, OEWs will track one-on-one encounters through the Enrollment Tracking Form. The Enrollment Tracking Form will be used to track the number of people assisted with enrollment and successfully enrolled, including demographic data such as gender, age, and race. OEWs will administer a brief survey after each outreach session to gauge the extent to which awareness of the benefits and requirements of the ACA has increased among participants. Finally, a brief web-based survey will be disseminated to CATF members twice yearly to assess the extent to which members have made changes and adopted strategies advanced by the project. Throughout the project, best practices will be shared throughout the network of organizations working on enrolling minority populations in health insurance.

Cultural and Linguistic Competency: Improve cultural and linguistic competency and the diversity of the health-related workforce.
Data, Research, and Evaluation: Improve data availability and coordination, utilization, and diffusion of research and evaluation outcomes.
Health System and Life Experience: Improve health and healthcare outcomes for racial, ethnic, and underserved populations.


AHS-1: Increase the proportion of persons with health insurance.
11/12/2015 6:46:00 PM