Your Source for Health Reform

Topic: Special Populations



Special populations such as immigrants, the uninsured, the unbanked, and people with low English skills require special outreach efforts to connect them with the benefits the ACA is intended to provide. Some groups, such as refugees and Pacific Islanders, have special provisions for them in the law. And certain demographic groups, such as the young people and healthy people, are important to the the program’s success. The ACA also particularly impacts the LGBTQ community, populations affected by chronic disease, and people impacted by circumstances like domestic violence.


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Network Adequacy Analysis

This December 2015 report from the Aids Foundation of Chicago analyzes Illinois silver-level Marketplace plans’ coverage of HIV and the Hepatitis C Virus treatment. The trend has been for Marketplace plans to limit coverage of necessary treatments for this population.

Creative ACA Outreach

This January 2016 blog post from Families USA gives strategies for enrolling the remaining uninsured, a group that is often hard to reach and unaware of available financial assistance.

Targeting the Fasting Growing Religious Group

This October 2015 toolkit from Enroll America offers strategies for health care outreach and enrollment with Muslims. It also provides talking points and action steps for those looking to engage and build partnerships within the Muslim community

Keep Calm and Transition On

This November 2015 toolkit from the Medicare-Medicaid Coordination Office will help people with mental health conditions transition from one care provider to another. Strategies are offered for overcoming barriers to care and for strengthening relationships between the person’s care team members.

Affordable, Quality Care for All?

This November 2015 brief from the National Health Council shares patient experiences of Marketplace enrollees with chronic conditions. A major finding: Marketplace consumers, especially those with complex medical needs, require more tools to make informed enrollment decisions.

Milestones Bring New Health Coverage Choices

This chart from the Center on Budget and Policy Priorities focuses on life events that trigger a special enrollment period for the Marketplace, who qualifies and the effective date of coverage once a health plan is selected. The resource has been updated for the 2016 enrollment period.

What Insurance Can My Client Get?

This October 2015 grid from Health & Disability Advocates gives the dollar amount income thresholds for health care programs in Illinois.

A Safety Plan That Includes Health Insurance

This October 2015 tip sheet from In the Loop explains how survivors of domestic violence can purchase a Marketplace plan and qualify for financial assistance after leaving their abuser.

Effective Health Care Outreach

This September 2015 brief from the Center for Health Care Strategies presents approaches for engaging with Medicaid and Medicare eligible health care consumers. This group is more likely to have chronic health conditions and is harder to engage.

Turning 65?

This September 2015 tip sheet from AgeOptions outlines the health care options for older adults once they become Medicare eligible.

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