Projects

Addressing Structural Racism: A Study of Efforts to Promote Health Insurance Coverage and Improve Racial Equity

2021-2022

Project Overview

Objective

To identify lessons learned from the Robert Wood Johnson Foundation’s (RWJF) funded partners' Marketplace and Medicaid outreach and enrollment efforts in the 2022 open enrollment period, including strategies to engage community power-building organizations and address structural racism.

Project Motivation

This project builds on RWJF's long history of supporting health insurance outreach and enrollment activities, and Mathematica's prior evaluations of these efforts, to focus specifically on how funded partners can address structural racism in these processes.

Prepared For

The Robert Wood Johnson Foundation

Mathematica evaluated the Robert Wood Johnson Foundation’s (RWJF) funded partners’ health insurance outreach and enrollment work in the 2022 Marketplace open enrollment period to explore effective strategies to engage community power-building organizations and address structural racism.
Historical inequities, which are grounded in systematic and structural racism, present challenges to enrolling people from under-resourced communities in health insurance. RWJF has a long history of investing in national organizations, known as funded partners, who support ACA Marketplace and Medicaid/CHIP outreach and enrollment efforts for under-resourced communities and collaborate with community power-building organizations to provide education and outreach and enrollment support to individuals, families, and communities.

In this project, Mathematica and its partners evaluated funded partners’ health insurance outreach and enrollment efforts in the 2022 Marketplace open enrollment period in three communities of interest to RWJF: Broward County, FL; Detroit, MI; and Newark, NJ. 
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Related Staff

Frank Martin

Frank Martin

Senior Researcher

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Cara Orfield

Cara Orfield

Senior Researcher

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Olivia Kenney

Olivia Kenney

Researcher

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Emmanuel Saint-Phard

Emmanuel Saint-Phard

Research Analyst

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