Grant Partners

The Massachusetts Senior Action Council (MSAC) will address key public policy and community issues affecting the health and well-being for the 65 and over population, empowering its members to use their own voices to address key public policy and community issues. Advocacy will focus on the growing disparity in out-of-pocket costs and affordability. MSAC will coordinate the “Bridge the Gap” campaign, which focuses on health care affordability for seniors.

Project Directors: Thomas Byrne, PhD, Principal Investigator and Daniel Miller, PhD, Co-Investigator“A Data-Based Redesign of Health Care and Housing for People who Experience Chronic Homelessness” is a two year project that will assess the potential return on investment associated with several different housing intervention models for persons age 55 and above experiencing chronic homelessness. The research team plans to: describe the health care utilization patterns among Massachusetts residents over the age of 55 who are enrolled in Medicaid and experience chronic homelessness and compare those patterns to two other comparison groups, including a similar cohort who experiences homelessness on a temporary basis and a cohort who have not experienced homelessness; project health care costs over the next ten years associated with Massachusetts residents over the age of 55 who are chronically homeless and enrolled in Medicaid in the absence of a housing intervention; and analyze if/to what extent implementation of several different housing models targeted to chronically homeless adults aged 55 and older would lead to reductions in health care costs. Where applicable, the researchers will also estimate the potential return on investment associated with large-scale implementation of the housing models considered. This project will focus on Massachusetts but is expected to be part of a multi-state project involving other independent studies in California, New York, and Washington (pending funding for projects in each of these states), which share similar research objectives.

Dukes County will participate in community outreach events, and use paid and unpaid advertising and social media to promote affordable insurance information. They will develop a folder with handouts for appointments, and adapt a checklist for account set-up, enrollment and payment information, primary care provider selection, and making appointments. It will also set up reminder systems for clients with pending action steps. 

Community Action of the Franklin, Hampshire, and North Quabbin Regions will conduct outreach through four community coalitions, food pantries, and career centers.  They will screen all callers for health insurance needs and send reminders about member responsibilities to submit documentation and update information.  At enrollment meetings, Community Action will provide materials to help members stay organized and follow-up to see if they have a PCP, can access their Connector account, and have responded to any mailings. 

Cambridge Economic Opportunity Committee (CEOC) will plan outreach and enrollment activities at community locations. It will use an extensive follow-up system to address churn, ensuring that individuals have obtained the benefit they applied for and that all documents have been submitted.  It will conduct financial education and coaching to help ensure individuals can maintain their payments and minimize the risk of churn, and conduct educational coaching on health insurance literacy.

Urban Edge provides housing supportive services including public benefit enrollment, family budgeting, leadership development, connections to community, and tax preparation services.  The Family Van carries out curbside testing, health coaching, and care referrals to individuals in underserved communities, travelling directly to areas in which the need is greatest, and providing a range of preventive services and an alternative to costly emergency department visits.  Both organizations will partner with Winn Companies to analyze the impact that housing support services have on the health of families most impacted by the social determinants of health, using an Evaluation Framework for Community Health Programs. 

Fishing Partnership Health Plan (FPHP) will conduct outreach mailings and maintain presence at harbors, marinas, and trade shows, reaching fishermen and their families. They will address churn through providing a Resource Sheet with relevant deadlines, follow-up via preferred communications methods, and provide individual education sessions on health insurance literacy.

Lynn Community Health Center will provide enrollment assistance and conduct monthly outreach activities at local health fairs and cultural events.  They will collaborate with health and human service providers to provide off-site outreach and enrollment services.  Monthly education sessions will be conducted on health coverage options using a Patient Navigation Guide.  

Community Action of the Franklin, Hampshire and North Quabbin Regions will assist eligible consumers with applications, offer education about health access services over the phone, and provide financial assistance assessments.  Referral linkages with area providers will also be enhanced.  

Massachusetts Public Health Association (MPHA) will focus on community health integration and improving the built environment. MPHA will work with the Alliance for Community Health Integration to ensure that social determinants of health are adequately addressed, in particular through community investments, support for ACOs from MassHealth, and health care institutions’ internal policies.

Massachusetts Senior Action Council will advocate for health care access for the over 65 population.  It will advocate for its constituents around growing out-of-pocket costs and affordability, expanding access to community-based long-term care by eliminating disparities in eligibility for personal care attendant services, and ensuring adequate funding for home care.  Finally, the organization will increase awareness of and streamline enrollment for existing senior health care programs.

County of Dukes County will provide enrollment assistance at local community organizations to assist consumers in setting up Health Information Exchange accounts, completing applications, checking statuses and making updates.  They will also develop and disseminate information on the Affordable Care Act, with a focus on immigrants and tribal members.  Finally, social media, paid and free media will be used to reach members of the general public on health coverage options.  

Whittier Street Health Center will provide eligibility assistance and coordinate care for patients, making referrals within the health center, with other health care providers, and community partners.  They will continue to foster the Building Vibrant Communities program to employ housing development residents as community health workers to assist consumers with their health and social needs.  Community health workers will be trained in patient navigation to equip consumers in connecting with primary care and other social and health services.  

Boston Public Health Commission will assist consumers in enrolling in and selecting health plans, as well as retaining coverage.  They will develop quick-guides on the new marketplace application and renewal processes, and disseminate “Health Portfolios” to consumers to track health coverage, primary care providers, and Affordable Care Act information.  “Roving Navigators” will promote access to health coverage at barbershops, auto body shops, and nail salons.

Family Health Center of Worcester will assist uninsured individuals to enroll in and maintain coverage, and connect to a primary care medical home.  They will continue weekly New Patient Orientation/Education Sessions, and expand the use of “I Speak” cards that detail useful information on the health center for patients.  Finally, they will provide individualized education and install computer kiosks for patients to use.