Since the exchanges opened on October 1
st, Toni Cohen has been in overdrive.
"It has been crazy here," says Cohen.
"All the appointments we have. Our days are just packed running here, running there, seeing patients. It’s been nuts."
Cohen -- who works for the community health clinic
Project H.O.P.E. -- is one of a handful of navigators in Camden trying to sign up people who are eligible for healthcare.
She has been to churches, farmer’s markets and housing projects.
Tomorrow she'll start hitting local businesses and one of Camden’s tent
cities of homeless people.
Because
healthcare.gov isn’t working well enough to enroll people online, navigators around the country have been forced to switch gears.
In Camden, navigators are resorting to paper applications.
It’s straightforward, says Cohen. But she’s worried.
"The biggest concern I have of the last five weeks, is that the
people who have filled out applications have not heard anything back
yet," says Cohen.
One reason: paper applications must be run through the same web portal as the online ones.
One month in, less than 7 percent of the city’s residents who are eligible for Obamacare - have begun the enrollment process.
Maura Collinsgru with New Jersey Citizen Action says there’s a workaround.
Navigators are directing people eligible for Medicaid to the state’s Medicaid site,
njfamilycare.org.
"Because we discovered it was a way for people to enroll now while we
await the glitches being worked out with healthcare.gov," she says.
Collinsgru says more than a third of the state’s 900,000 uninsured
citizens qualify for Medicaid now that the program is being expanded.
Whether they know about it is another story.
“America is not fully versed on the Affordable Care Act,” says
Karen Pollitz, a health policy analyst with Kaiser Family Foundation.
She says as federal officials scramble to get healthcare.gov off the
ground, navigators are doing some good old fashioned education.
"You know a lot of people who are uninsured have had years of really
unhappy history and have given up on it. And it doesn’t even occur to
them that maybe it will work completely differently now," she says.
Pollitz says all the technical problems with the website have depressed enrollment.
But she points to Kentucky -- whose
exchange is working well – as proof that when things work, people are willing to sign up.
end quote from:
http://www.marketplace.org/topics/health-care/diagnosis-camden/obamacare-limbo-land-health-care-navigators
