Transcript How does the Affordable Care Act impact Latinos

A HEALTH CARE VICTORY FOR THE
HISPANIC COMMUNITY: IMPACTS OF THE
AFFORDABLE CARE ACT
BY STEVE DEL CASTILLO, PHD
adelante con la salud: latino health care engagement project
Health Disparities Within the Colorado Latino
Population: A Life Cycle View
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Compared to other groups, Latinos have the highest
health disparities in areas such as:
 Pregnancy and Birth Outcomes (e.g., infant mortality,
perinatal mortality, low-weight births)
 Children’s Health (e.g., obesity & oral health)
 Youth ( e.g., suicide; teen fertility rates; gonorrhea
age 10-17)
 Adults (e.g., life expectancy @ birth; obesity,
diabetes mortality, cervical cancer)
Status of Health Care for Latinos: Results of Colorado
Health Assessment Survey (CHAS): 2011
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Barriers to Accessing Health Care
On average, Latinos were 40% more likely
than Non-Latinos to
 Have problems Trying To Get Health Care
 Not Receive Needed Care Due to Costs
 Have Problems Paying or Unable to Pay
Any Medical Bills
What Hispanics know about Obamacare
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 In Colorado, 69% of
Hispanics find
Obamacare confusing
and complicated.
 54% of Colorado
Hispanics can’t name one
policy that is part of
Obamacare.
 Need for targeted
outreach and
education
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WHY OBAMACARE
MATTERS TO
HISPANICS:
THE RESEARCH
Why the ACA Matters
For Hispanics
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 In April 2013 Latino Decisions conducted a poll with
Colorado Hispanics and found that 31% of Hispanics
lacked health insurance at some time in the past year
 Twenty percent of low-income Hispanic youth have gone a
year without a visiting a health care provider.
 Half of all Hispanics do not have a regular doctor (US
Census 2012)
 In 2011, one in three Hispanic women were uninsured (14
million Hispanics in the US) making them the largest group
of women in the US without health insurance.
The Research
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Sponsors:
Adelante con
la Salud
Latino: Latino
Health Care
Engagement
Project
Latino
Decisions
 401 self-identified Latino adults
 No screen on citizenship or voter registration
 Conducted April 11-16, 2013
 All respondents selected at random
 Landline and cell-phone only households
included along with on-line web sample
 Nominal margin of error is +/- 4.9%
 Interviews in Spanish or English at subject’s
discretion
Perceptions of the ACA
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How much
do you know
about the
Affordable
Care Act,
sometimes
called
Obamacare?
Don't know
9%
Pretty well
informed
22%
Confusing
and
complicated
69%
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
Health Care Costs for Families
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Decreased
3%
DK
6%
No change
42%
Increased
49%
In the past
year has the
total amount
you pay for
your family's
health care
increased,
decreased, or
remained the
same?
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
Undocumented Immigrants & the ACA
Regardless of
what you’ve
heard about the
law, do you
think
undocumented
immigrants
should be able
to access ACA
benefits?
Don't
Know
9%
Yes,
should be
eligible
62%
No,
should not
29%
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
ACA Information Language Preference
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Which
language(s)
would you
prefer to
receive
information
about the new
health care
law?
Both
27%
English
59%
Spanish
14%
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
Preferred ACA Information Format
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Pamphlet mailed home
35%
Television
30%
Website
30%
Pamphlets at doctor…
17%
Email
14%
Call to home
7%
Radio
Hear from…
Text
5%
4%
2%
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
Trusted sources of information
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Hospitals
27%
Doctors
21%
Community Orgs
17%
Insurance companies
15%
Family
13%
Neighborhood clinics
12%
Employer
7%
Friends
6%
Elected officials
6%
Church
5%
Nurses
5%
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
HOW OBAMACARE
IS HELPING THE
HISPANIC
COMMUNITY
ACA already at work for Hispanics
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 8.2 million
Hispanics who
have private
insurance now
have access to
expanded
preventive
services without
additional costsharing
Prevention and Obamacare
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
Services that are covered with no-cost sharing if you have
private health insurance include:
Well-child visits
 Blood pressure, diabetes and cholesterol screenings
 Pap tests and mammograms for women
 Flu shots for adults and children
 Breast feeding supplies
 Alcohol misuse screening and
counseling
 STD screenings

Expanding Access to Community
Health Centers
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 Colorado was awarded
$104,071,213 to help
expand services. 175
health centers are
providing preventive
and primary health
care services to
474,241 people.
 In 2009, close to 35%
of patients served by
community health
centers were Hispanic
More Culturally Responsive Care
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 Increase health care
workforce from
communities of color
through scholarship
and loan repayment
opportunities for
people who commit to
work in medically
underserved areas
More Culturally Responsive Care
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Current State
 People with limited
English proficiency are
less likely to have a
regular source of care
and get preventive
care
 Less satisfied with
quality of care
Opportunities because of the ACA
Cultural responsive
training among health care
providers to better address
the needs of Hispanics
Expanding Coverage for Hispanics
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 Hispanics have the most
to gain from health
care reform
 Estimates from RAND
suggest that by 2016,
5.4 million Latinas/os
will gain healthcare
coverage who would
otherwise be uninsured
For More Information
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AdelanteconlaSalud
@AdelanteSalud