Client(s): Center for Health Information and Analysis (CHIA)
Service: Applied Research & Evaluation
Technical Expertise: Health Care Reform, Health Disparities
Recent research has shown that Hispanics are disproportionately uninsured in Massachusetts. Following the 2006 health insurance reform in Massachusetts, Hispanics have continued to experience barriers to maintaining coverage and receiving care. Not only do Hispanics have a high risk of being uninsured and underinsured, but there is also a lack of information about best practices for targeting and tailoring outreach and enrollment strategies to their needs. The MA Center for Health Information and Analysis (CHIA) contracted JSI, in collaboration with Health Care for All and Northeastern University Institute on Urban Health Research, to conduct a study of health care coverage and access among the uninsured and newly insured Hispanics in Massachusetts.
JSI provided information for research-based policymaking by:
- Documenting the barriers to obtaining coverage among uninsured Hispanics, including cultural, linguistic, financial, and administrative barriers;
- Documenting the barriers to maintaining coverage and navigating the health care system among newly insured Hispanics; and
- Identifying best practices among community-based organizations and community health centers that provide services for Hispanics to enroll, maintain, and use coverage.
JSI employed a mixed-method design for this research project in order to gather multiple perspectives regarding coverage and access for uninsured and newly insured Hispanics in Massachusetts. Project results identified the specific needs of high-risk groups within the Hispanic population and informed outreach and enrollment strategies in terms of targeting these high-risk groups and using best practices to provide assistance.