Saturday, July 27, 2013

Volunteers will fan out across Florida today, knocking on doors to identify uninsured residents and get them ready to enroll in Obamacare.  But they won’t be knocking blindly.  Behind the scenes is a sophisticated data operation that will guide volunteers to the right neighborhoods in Palm Beach County and elsewhere, and hopefully, even the right door to find those who can benefit from the law.

A team of data experts at Enroll America in Washington has built a model designed to identify not just who has no insurance but who may be persuaded to buy it.  The canvassing and outreach effort has the potential to become among the most significant since the presidential election.

The organization’s data director is an alumnus from the renowned Obama re-election cave.  Programmers, analysts and others worked 16-hour days there developing a model, for example, that showed the campaign could win in Florida, despite conventional wisdom that it would swing to Mitt Romney.

As in political campaigning, turnout is crucial to the success of the Affordable Care Act.  If people do not enroll in health insurance, the law will fail both politically and economically.

If the only people drawn to buy insurance are those who truly need it, people who are sick or older but not old enough for Medicare, the cost of insurance could be driven up for everyone.

Targeting the 49 million uninsured in a country of nearly 314 million is only a little easier than finding a proverbial needle in a haystack.  That is – without the use of data.

Data director Matthew Saniie used census data, Enroll America’s own survey of 10,000 consumers and databases on the market, likely to include voter data.

The numbers have given his team some helpful indicators.  Two-thirds of uninsured American live in 13 states.  Florida has about 4 million residents with no health coverage.

Those oldest and most well-to-do are more likely to have insurance.  Categories of those least likely to be insured included singles, Latinos, the young and the poor.

Data that are publicly available or that can be bought is only the first step.  The campaign also relies on results from its own survey.  Callers used landlines and cellphones to interview 10,000 residents in English and Spanish.

Face-to-face interactions between volunteers and the public will provide some of the most useful data to focus the outreach efforts.

“When people volunteer information to us, we record it and ultimately track it,” Saniie said.  “No longer are we making decisions based on a model, but now we can base decisions on conversations we’ve had with thousands of people.”

Real time data input was one of the keys to Obama’s success in 2012, said Soren Dayton, senior vice president at Prism Public Affairs.  Dayton worked on messaging and voter contact for John McCain’s 2008 campaign.

“The hardest parts of this aren’t mathematical,” he said.  “The most remarkable thing about the Obama campaign wasn’t the data – although the data were really cool – it’s their ability to, one, trust their volunteers, and, two, create a cultural system among their staff that works.”

More than a dozen volunteers in Palm Beach County participating in Weekend of Action will visit communities today in Delray Beach and Boca Raton.  If they meet someone who has insurance, they’ll ask about friends or family members who don’t.

And when the person who answers their knock says they don’t have insurance, the volunteers will collect as much information as they can.  Is the person interested in insurance?  How much money do they earn?  That will help Enroll America determine whether they may qualify for a government subsidy to help buy a plan.  Potential enrollees will be added to lists to be called or visited again.  Maybe again and again.  After the federal government announces its grants for navigators, the people who will actually help consumers sign up, Enroll America will connect its contacts with navigators.

As a fiend organizer is Palm Beach County, Florence French has already started knocking.  She gets a list, which includes the likely names of the people who live there, their address and phone number. 

Advocates of the law are up against a growing negative perception of it.  A new CBS poll found that a record 36 percent of Americans want to the law repealed, and 54 percent have an unfavorable opinion of it.

Enroll America’s own data show that their target audience is hardly primed to receive the message.  Of those Americans who may be eligible to enroll in insurance come October through an online marketplace operating in each state, 78 percent don’t know about it.

French is finding that in her early conversations.

“Most people didn’t even understand that the Affordable Care Act has been passed, [number] 1 [and] [number] 2, they really didn’t understand what that meant,” she said.

One of French’s biggest jobs is recruiting volunteers.  The group’s efforts in Palm Beach County this weekend will primarily focus on Boca, which isn’t the most intuitive pick when one’s goal is finding uninsured.

The town does have more than 10,700 residents without insurance. According to census data.

Boca was where they had a volunteer network, French said.  The organization will continue to recruit volunteers and take its door knocking to other parts of the country, its spokeswoman said. 

French is prepared to knock on lots of doors and to keep coming back.

“Once we know that they’re uninsured,” we know that our job’s done,” she said.

“Data mine helps target health care enrollees” by Laura Green, The Palm Beach Post, Saturday, July 27, 2013

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