The Louisville Metro Board of Health recently issued a report on implementation of the Affordable Care Act (ACA) in the city, detailing first year enrollment figures; making recommendations on improvements to the enrollment process; and citing a need for more data to identify gaps in the Louisville health care workforce to meet the needs of the newly insured.
The report was co-authored by Board of Health member and University of Louisville School of Public Health and Information Sciences Dean Craig Blakely, and doctoral student Ms. Susan Buchino.
In August 2013, two months prior to the first open enrollment period under the ACA, the Board of Health convened a wide-ranging group of community stakeholders to evaluate the opportunities to expand access to health care under the ACA in Louisville and improve the health of the community. The group included hospital health care systems and providers, state and local government agencies, local nonprofit organizations as well as insurance providers and insurance agents. The Board of Health divided its work into four committees – Enrollment, Health Literacy & Education, Workforce Capacity and Outcomes & Evaluation.
“Louisville is uniquely positioned for ACA implementation. Our governor has recognized Kentucky as a state with consistently poor rankings in health outcome measures, and has fully embraced the controversial provisions of the ACA in an attempt to change this,” Dean Blakely said. “As the largest urban center, Louisville is the most diverse city within Kentucky, with diverse needs. Outreach and education has required a collaborative effort to be resourceful and comprehensive. We are not aware of similar efforts to convene work groups around ACA implementation.”
Key findings and recommendations: