Creating Culture-Centered Health and Health Insurance Literacy Resources: Lessons Learned from Haitian Creole, Mandarin, Native American, and Vietnamese Communities
May 26, 2021
From Coverage to Care launched in 2014 with the dual goals of helping consumers understand their health insurance coverage and connect to care and supporting organizations in the community as they assist consumers at various points in this process. In this report, the authors present the results of their analysis of From Coverage to Care's effectiveness in meeting these goals.
From Coverage to Care (C2C) launched in 2014 with the dual goals of helping consumers understand their health insurance coverage and connect to care and supporting organizations in the community as they assist consumers at various points in this process. The Centers for Medicare and Medicaid Services asked a team of RAND researchers to evaluate the effectiveness of C2C in meeting these goals. The authors present the results of their mixed-methods analysis, which included secondary analyses of product-ordering and other data, a survey of organizations placing C2C product orders, a survey of consumers who had and had not reported C2C, and four case studies in communities using C2C products tailored to meet their language or cultural needs.
The authors detected a positive association between C2C dissemination and flu vaccination but did not detect associations between C2C and six other measures of primary care and emergency care utilization. Findings from the consumer survey, which asked individuals whether they had ever seen C2C materials, suggest that those who were exposed to C2C were more likely to have high health insurance literacy, routine checkups, regular blood pressure monitoring, and flu vaccinations. Findings from the survey of organizations, which asked about dissemination channels, suggest that most organizations shared C2C materials with others in their community through distribution at events, talking to colleagues informally, or presenting C2C in a meeting or at an event. However, it is unclear how many of these efforts resulted in uptake by other organizations. RAND recommends a strategic planning approach to guide future dissemination efforts.
What Was the Extent of C2C Spread and Uptake Among Organizations?
How Did Organizations Select, Use, and Disseminate C2C Materials and Messages to Consumers?
What Did Consumers Gain From C2C Materials and Messages?
Were C2C Materials Associated with Changes in Health Care Utilization?
Insights for C2C Strategic Planning
Insights About Exposure and Uptake from Case Study Populations
Multivariable Analyses Predicting Utilization
Comparison of the Area Deprivation and Health Literacy Indexes Used in a C2C Strategic Planning Plan-Do-Study-Act Cycle
Counties with High Need for C2C: Data Tables
Multivariable Analysis Predicting Health Insurance Literacy