eDocTalk article

Legacy mounts comprehensive effort to enroll the uninsured

October 2013

Enrollment in Cover Oregon and Washington Healthplanfinder, the state insurance exchanges, is under way. The exchanges, also called marketplaces, are part of the Affordable Care Act, and each state has its own version. It is estimated that between 10 and 60 percent of currently uninsured residents are expected to seek coverage. More than 15,000 uninsured patients visit Legacy clinics and hospitals each year.

Your practice and the uninsured

If your practice serves uninsured patients, you will benefit financially when these patients move into an insurance program, even as the move benefits the patients’ health.

Medicaid also is expanding in Oregon and Washington. Providers and systems have an interest in helping people move from uninsured status to Medicaid. But while many uninsured will be enrolled in Medicaid (those with income up to 138 percent of the poverty line), many other uninsured who do not qualify for Medicaid will be eligible for broader benefits through the exchanges. Depending on their income level, they also may be eligible for subsidies and tax credits.

Legacy has launched a comprehensive outreach and support program for its uninsured patients.

Implementation is underway in four metro-area Oregon counties (Multnomah, Clackamas, Washington and Columbia). In the State of Washington, Legacy is working with exchange officials to determine which plans will be available to patients in southwestern Washington.

Refer your uninsured Legacy patients

If you have uninsured Legacy patients, encourage them to visit one of Legacy’s new enrollment centers. The enrollment centers will provide a place for patients to visit the Cover Oregon website.

The centers will be located on Legacy hospital campuses and will have extended hours and access to interpreter services. Where trained staff members aren’t available on-site, Legacy will also set up workstations for patients to remotely contact Legacy staff members using the phone and screen-sharing technology. These workstations will be available at "off-campus" locations, such as the Legacy clinics in St. Helens, Woodburn and Sandy.

One-on-one assistance

Newly trained assisters will be available in the enrollment centers and on the phone to help uninsured patients with the enrollment process. They’ll also conduct proactive calls to high-priority individuals and households.
Assisters will call patients to educate them about new health insurance opportunities, answer initial questions, set up in-person enrollment appointments, and when possible, begin the eligibility and enrollment process over the phone.

Back to current edition home page