Mark Horst is a local artist in Albuquerque. He was one of the first to try enrolling on the Marketplace last fall. Once he was able to get past the website glitches, he found a plan that saved his family money. Check out his story.
Happy Friday, everyone!
Health Action has been working hard to collect consumer stories over the past several months. Now, the fun begins. We will start releasing the videos of these stories over the next several weeks.
Here is our first: Guida. Guida lives in Albuquerque, NM. In 2002 she got a spider bite that changed her life. Medicaid helped her adjust to a difficult life change. This is her story.
Guest post by Zack Kear, Albuquerque resident, musician & teacher. (Originally published as an oped in the Albuquerque Journal, 2/13/2014.)
I’m a musician, which means I work several jobs so that I can do what I love. But it’s difficult to maintain affordable health insurance when most of your work is part-time or you’re in between jobs, and I know a lot of my friends are in the same boat.
There’s been a lot of talk about the new health care law, but I still have a lot of unanswered questions, and I know my fellow artists do, too. I heard that Health Action New Mexico is hosting a “Creative Coverage Cabaret” at ArtBar this Sunday from 4-7 p.m. for artists and art lovers who need health insurance.
Health Action New Mexico will have health care guides at the event to answer questions, no matter how small. If you’re like me, you get overwhelmed at the very mention of premiums, deductibles and co-pays. So having a friendly expert to explain my options – especially about what financial assistance I can get to help pay for insurance – sounds great.
While you talk to the health care guides, there will be live performances from a long list of Albuquerque-based artists from comedians to musicians to dancers. Come support our local talent and get health insurance – what better way to get covered?
I’m going because last year my University of New Mexico Cares plan was denied renewal. To make matters worse, I developed a jaw alignment problem that insurance wouldn’t cover.
As a singer and a flautist, this was potentially devastating. I ended up paying out of pocket for my preventative treatment only to find myself unable to afford the cost of monthly insurance.
Now that I’m without, I appreciate the value of health insurance more than I did before. If I needed other medical care tomorrow, I would have no way to afford it. So now that there are all these new plans under the new law, I’m hoping that the guides at the Creative Coverage Cabaret can help me find an affordable plan.
What I’ve learned so far about the Affordable Care Act is that almost three-quarters of uninsured New Mexicans are eligible for financial assistance or Centennial Care (our new Medicaid), and Centennial Care has expanded to include adults who have never qualified for Medicaid before. So chances are you qualify for financial help. And if you do, you could pay seriously low-cost or no-cost monthly premiums – and you wouldn’t have to worry about how you would pay in an emergency.
The other great thing is that the new rules give you better, more comprehensive care than was available on a lot of plans before the Affordable Care Act.
Now health insurance is required to cover basic benefits like prescription drugs, hospitalization or doctor’s visits. And on top of that, a lot of the things that could prevent sickness – like flu shots, checkups and cancer screenings – are free.
So come for the music, comedy and performance and potentially leave with health insurance coverage. Even if you have coverage already, you should come learn about the changes and how they affect you because there could be cheaper, better plans out there. At the very least, it’s a night to celebrate both our art and our health.
If you can’t come to the event, call Health Action New Mexico at 505-867-1095 because they can explain the new options a lot better than I can. Just do it before March 31, otherwise you may have to pay the fine and wait until next year to enroll.
Affordable, accessible health care means that we can do what we love without having to worry about where our health insurance is coming from or how we are going to afford it. Come to ArtBar by Catalyst Club at 119 Gold SW to see what that means to us.Health Action
Photo from Flickr
Tired of re-gifting ugly sweaters and decades-old chestnuts for the holidays? This year, try stuffing those stockings with something a little different: health coverage for your friends and family! Enroll America’s “Get Covered America,” campaign is offering Healthy Homecoming E-Cards this holiday season on their website, so you can send loving reminders to your loved ones.
With many charitable organizations now accepting online donations, there has been a paradigm shift in how we view gift-giving in the United States. Instead of buying expensive objects, many Americans are choosing to make donations on behalf of their loved ones. Rather than donate money this yuletide, with Enroll America’s Get Covered E-Cards you could help an uninsured loved one get low-cost or no-cost health insurance through the new Medicaid Expansion or the New Mexico Health Exchange. Sometimes all it takes is to let them know that you care.
And with 2014 coverage beginning in just 15 days, tis the season for healthcare! Enroll America’s three-step Healthy Homecoming process helps you start the conversation and get your nearest & dearest on the path to coverage this holiday season.
- Stephanie Grilo, Health Action NM Story Banker and Young Adult Outreach Coordinator
You’re a bit nervous to approach the woman in line. She’s wearing a worn woolen sweater that has the charm of that twice removed cousin-in-law of yours you only see at weddings and the occasional reunion. The woman seems nice enough, however all that research you did on, “how to make someone feel comfortable,” and “what not to do when conducting an interview” slinks away to the confides of your mind. You flip through those analogs for the right greeting you learned back in etiquette school when you were five. You decide on, “Hello.” It works. You follow up with, “How are you today?” She responds how any other individual standing outside in the mud of a free dental clinic would, “Tired.” You relate.
You then engage in a conversation about how she came to find out about New Mexico’s Mission of Mercy, a free dental clinic that only occurs every year and a half. What comes from this conversation is a remarkable story about an immigrant family torn from each other and how a simple dentist visit is not as easy as you would think. In fact, impossible for this woman in her beautifully worn woolen sweater. Her name was Lucia. Her mother was diagnosed with skin cancer a few years ago, but she could not get onto Medicaid or Medicare in the United States because of her immigrant status. Their family was eventually torn from one another. All over the access to healthcare.
As a story collector, you get to experience a world of characters. You begin to notice the subtle nuances of your subjects, how their smile reflects a certain joy, their tears sting your soul, and how the overall breadth of their personal stories move you and others. Philip Pullman, a children’s novelist, once said, “After nourishment, shelter and companionship, stories are the thing we need most in the world.” It is because of stories we find solidarity rather than anonymity. It is because of stories we relate rather than hate. It is because of stories we can transmute barriers and find solutions. Stories define you, they define me, and, “have to be told or they die, and when they die, we can't remember who we are or why we're here” (Sue Monk Kidd, The Secret Life of Bees). Click here to read Lucia's story.
- Stephanie Grilo, Story Banker and Young Adult Outreach Coordinator
On November 1st we held our first-ever regional convening on health care Outreach & Enrollment. It was a great success! With over 80 health leaders from a diverse set of backgrounds, we had a wide range of representation from various players in the enrollment field.
One of the most exciting outcomes from the convening was participants' interest in continuing the dialogue. There are so many groups doing great work surrounding outreach and enrollment in our state, it is time that we join together to work towards the same goal: enrolling New Mexicans in health coverage.
Health Action NM two more convenings during open enrollment - one for southern NM in December 2013, and one for northern NM in January 2014. Stay tuned for details!
Some highlights from the Aug. 28, 2013 CMS listening call to hear from behavioral health consumers on the disruption of service due to HSD process of Medicaid funding freeze and bringing in AZ takeover companies.
- 27 callers were heard.
- Callers were told not to discuss the “fraud” issue.
- Many consumers noted that the timing and method of the call was not accessible to most consumers of behavioral health services (working parents, non-English speakers, children, homeless persons, persons in jail or in the juvenile justice system. Others complained about the lack of outreach to let people know about the call other than email or facebook postings.
- Callers noted that a quarter of the time for consumers to give their input was taken by HSD defending their actions or countering with their actions to resolve issues.
- Stories from across the state painted some of the vivid picture of the disruption of services that has taken place, including not being able to get appointments and medications. Many parents reporting disruptions of service for their children. Lack of contracts by new AZ provider agencies with psychologists who can prescribe medications.
- Many consumers noted that consumers and their communities were “scared”, “frightened and threatened" by the type of actions taken by HSD. Some described the HSD action as a dangerous future precedent.
- Consumers complained they received no notification or explanation of changes either from HSD or the new providers. Had to learn about it word of mouth or in the media.
- One therapist whose takeover situation is down from 12 to 3 therapists for several thousand clients says they now have to do new intake forms which take up to 2 hours. This results in long waits until this process is completed.
- Various callers discussed behavioral health professionals either leaving rural areas or the state because of the HSD takeover process. Two referred to the “ripple effect” across NM and its communities.
- Callers from Native American communities noted that their communities would be hardest hit both by the disruption of service and the decrease in providers in NM.
- Various callers called for HSD to “change direction,” restore previous provider agencies, etc.
- Several callers outlined impact on frontier communities where services are already precarious.
- Several callers discussed the lack of contracts with BMS workers so children who needed these services couldn’t be in school.
- An attorney noted that assessments for infants in state care were not happening in her affected area so parents couldn’t start the process to get their children back - with a disastrous effect on family.
- Callers talked about disruption leading to potential hospitalization and reliance on ER services that didn’t resolve issue. One caller talked of dual diagnosis person who is in a nursing home because of lack of services – this is not an appropriate place for care.
- A psychologist from one of the pueblos discussed cultural competency and that NM was very different from AZ in cultures and poverty despite the AZ takeover entities’ claims to the contrary. Gave clear examples from tribal and Hispanic traditional societies where it takes extended time of years in these communities to gain real insight into the cultural issues. Said that bringing in AZ agencies was in fact saying culture doesn’t matter.
- One caller called on HSD to put boots on the ground in the affected communities and hold community forums. When HSD said they would do so with 6 months, the caller deemed that was not acceptable.
- One caller: “Government has failed consumers and I don’t know how you can sleep at night.”
If people have crisis situations, they should call: 855-662-7474
If people have care coordination issues, they should call 866-660-7185
Also, active Facebook groups for this issue can be found here:
1) New Mexico Rising Up - https://www.facebook.com/nmrising
2) Save Behavioral Health https://www.facebook.com/SaveBehavioralHealthNM
- Notes by BarbaraHealth Action
This fall, many young Americans will have more health insurance options available to them than ever before as the Affordable Care Act (ACA) begins allowing individuals to enroll in new subsidized health insurance plans. Young Invincibles and the U.S. Department of Health & Human Services have created a competition that will tap into the creativity and energy of young Americans while raising awareness about the new law and encouraging young people to take advantage of the benefits of health insurance.
With a prize pool worth up to $30,000, and over 100 prizes to be won, this is your opportunity to shine! Cash prizes will be awarded to the creators of the best videos in three distinct categories; so whether you’ve got a talent for short films, writing a great song, or designing an entertaining video infographic, you can be a winner! Click the links above to learn more about each of the categories and how you can participate.
Videos can be submitted during the five-week period starting on Monday, August 19th. A public voting period will follow to help determine the Finalists in each category, and a final round of voting and judging will determine who takes home the Grand Prize. The Young Invincibles website has all the juicy details.Health Action
With increasing amazement and sorrow, I’ve watched unfold the behavioral health saga in New Mexico with the Arizona takeover of 15 long standing New Mexico provider non-profits. Last week, I sat in a meeting where some of the targeted providers provided a very different story than has surfaced in public coverage of these events. Affected consumers also shared their stories.
I came away with the sense that we have only seen the tip of the iceberg the impact this misadventure has and will have for many decades on communities and people’s lives across New Mexico. One person described it as the tsunami that will touch every corner of New Mexico.
Even if we reversed everything tomorrow, our fragile support system for vulnerable children and adults touched by mental health issues, their families, their schools, workplaces, etc. can never be the same. Skilled providers in our rural communities have already begun leaving the state. Providers seeking certification in the new health plans and MCO’s are withdrawing their applications saying they don’t want to work in such a climate of uncertainty and lack of loyalty to patients and employees. Charges of intentional criminality have shattered both providers and clients.
Those of us who know New Mexico’s deeply rooted communities whose fabric goes back centuries and, in the case of tribal communities, millennia, wonder how it was conceivable to bring in entities from another state. Others ask where was the state and their oversight vendor in providing training and management guidance. Still others ask what agendas are at play.
But what stills the heart are the stories, the people’s stories – the grandmother of an eight-year old who has lost her BMS worker just before school starts and as her behavior escalates, puts her fist through a wall; the anguished mother who watches the increasing anxiety and regression of her 23 year old son with schizophrenia as his provider non-profit changes are happening… the stories go on.
New Mexico must act quickly to create opportunities for state and federal decision makers to hear from those affected by this surging crisis and investigate the process that brought us this crisis and learn from it. Brakes need to be placed on a process that has ignored due process, respect and client safety.
The basic therapeutic relationship as well as public stewardship is one of trust. Trust has been broken at many levels and action needs to be taken immediately. Because if not, we are all doomed in New Mexico to collectively become La Llorona: condemned to wander New Mexico forever asking, donde estan mis hijos, where is the mother with postpartum depression, the father on the road to recovery, the young teens without hope, the veterans who could not forget? Where are those we are pledged to protect? Like La Llorona, we have abandoned our own for the promises and resources of outsiders. New Mexico, New Mexico, can we change our looming fate of becoming La Llorona?
- Barbara Webber, HANM Executive DirectorHealth Action