Evaluation of Enroll America: An Implementation Assessment and Recommendations for Future Outreach Efforts

Publisher: Ann Arbor, MI: Mathematica Policy Research
Jul 28, 2014
Sheila Hoag, Sean Orzol, and Cara Orfield

The first report from our comprehensive evaluation, which presents summary findings from the qualitative component, suggests that Enroll America:

  • Pioneered an innovative outreach approach that uses data-driven, campaign-style methods to increase enrollment under the ACA.
  • Prioritized efficiency and evidence in ways more commonly associated with the private sector.
  • Filled two important capacity gaps: (1) coordinating disparate outreach-related activities, and (2) expanding local nonprofit capacity by sharing resources and knowledge.
  • Quickly established its credibility at the state and national levels through visible, effective collaborations.

Families USA spearheaded formation of Enroll America in 2010 to identify newly eligible adults for enrollment in expanded health insurance coverage made possible by the Affordable Care Act. Mathematica is conducting a rigorous evaluation that includes qualitative and quantitative assessments.

For its first outreach campaign, Enroll America built infrastructure in 11 states (Arizona, Florida, Georgia, Illinois, Michigan, New Jersey, North Carolina, Ohio, Pennsylvania, Tennessee, and Texas), training staff and engaging volunteers and local partners in outreach to consumers.

Areas of recommendation for the second enrollment period include:

  • Expand the number of consumer assistance counselors.
  • Reconsider how resources are allocated in states that have geographically dispersed uninsured.
  • Continue to place a high priority on seeking partnerships, especially with groups connected to key uninsured constituencies.