Affordable Care Act Marketplace Enrollment: Mitigating the Barriers that Assisters Face in Enrolling Immigrant Populations in North Carolina Public Deposited

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  • February 26, 2019
  • Zoellner, Alexa
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
  • Enroll America found that during the first open enrollment period (October 1, 2013- March 31, 2014) consumers were twice as likely to enroll if they received in-person assistance. Only about 16% of people were able to enroll successfully without assistance (Enroll America, 2014). As indicated by Enroll America’s findings, assisters play a vital role in the success of North Carolina’s enrollment statistics. Assisters varied on their level of training, their status, and the type of organization and circumstances under which they aided enrollment. As assisters guided consumers through the marketplace, they were faced with many challenges (Volk, Corlette, Ahn, & Brooks, 2014). Furthermore, while some barriers to enrolling the consumer were somewhat common across most appointments (i.e. technical problems), other issues were as unique as the consumer. In particular, immigrants presented assisters with a myriad of challenges due to a variety of access and eligibility issues. Many of these problems have not been resolved; successfully enrolling immigrants is an on-going challenge (Pollitz & Tolbert, 2014). It is important to determine what issues assisters are confronting in trying to enroll these populations and what is known about how to best mitigate these barriers. Research Questions 1. What do assisters perceive to be the barriers to enrolling Latino immigrants, temporary migrant workers, and non-immigrant refugees in the ACA? 2. What are the best practices for assisters to mitigate these barriers and help these populations successfully enroll into the Marketplace?
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  • In Copyright
  • Funding: None
  • Silberman, Pam
  • Bachelor of Science
Honors level
  • Highest Honors
Degree granting institution
  • University of North Carolina at Chapel Hill
  • 46

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