A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL...
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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
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Transcript of A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL...
A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT
BY STEVE DEL CASTILLO, PHDadelante con la salud: latino health care engagement project
Health Disparities Within the Colorado Latino Population: A Life Cycle View
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)
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Barriers to Accessing Health CareOn 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
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Status of Health Care for Latinos: Results of Colorado Health Assessment Survey (CHAS): 2011
What Hispanics know about Obamacare
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
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Why the ACA Matters
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.
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.
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The Research
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
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Perceptions of the ACA
How much do you know about the Affordable Care Act, sometimes called Obamacare?
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
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Health Care Costs for Families
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)
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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?
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
ACA Information Language Preference
Which language(s) would you prefer to receive information about the new health care law?
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
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Preferred ACA Information Format
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
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Trusted sources of information
Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11-16 (N=401)
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HOW OBAMACARE IS HELPING
THE HISPANIC COMMUNITY
ACA already at work for Hispanics 8.2 million
Hispanics who have private insurance now have access to expanded preventive services without additional cost-sharing
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Prevention and Obamacare16
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 CommunityHealth Centers
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
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More Culturally Responsive Care
Increase health care workforce from communities of color through scholarship and loan repayment opportunities for people who commit to work in medically underserved areas
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More Culturally Responsive Care
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
Current State Opportunities because of the ACA
Cultural responsive training among health care providers to better address the needs of Hispanics
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Expanding Coverage for Hispanics
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
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