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What Can Health Communication Science Offer for ACA Implementation? Five Evidence‐Informed Strategies for Expanding Medicaid Enrollment
Author(s) -
KREUTER MATTHEW W.,
M TIMOTHY D.,
CABURNAY CHARLENE A.,
POOR TIMOTHY,
THOMPSON VETTA L. SANDERS,
ALCARAZ KASSANDRA I.,
EDDENS KATHERINE S.,
RATH SUCHITRA,
PERKINS HANNAH,
CASEY CHRISTOPHER
Publication year - 2014
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/1468-0009.12040
Subject(s) - outreach , medicaid , context (archaeology) , health care , public health , ethnic group , call to action , health equity , patient protection and affordable care act , public relations , health services research , health policy , health insurance , health communication , medicine , medical education , nursing , business , political science , marketing , paleontology , law , biology
Context Implementing the Affordable Care Act (ACA) in 2014 will require effective enrollment and outreach efforts to previously uninsured individuals now eligible for coverage. Methods From 1996 to 2013, the Health Communication Research Laboratory conducted more than 40 original studies with more than 30,000 participants to learn how to improve the reach to and effectiveness of health information for low‐income and racial/ethnic minority populations. We synthesized the findings from this body of research and used them to inform current challenges in implementing the ACA. Findings We found empirical support for 5 recommendations regarding partnerships, outreach, messages and messengers, life priorities of low‐income individuals and families, and the information environment. We translated these into 12 action steps. Conclusions Health communication science can inform the development and execution of strategies to increase the public's understanding of the ACA and to support the enrollment of eligible individuals into Medicaid or the Health Insurance Marketplace.

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