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Expanding Coverage
Funder: Missouri Foundation for Health
Staff Contact: Caren Bacon
Project Duration: 2013-present

In 2013, Missouri Foundation for Health (MFH) established the Expanding Coverage Initiative. It is a five-year initiative with the goal of reducing the uninsured rate in Missouri to less than 5 percent in 5 years. The Initiative utilizes three strategies to address this goal:
  • Awareness - engaging uninsured consumers by creating broad awareness of the Marketplace and available financial help.
  • Enrollmenthelping eligible consumers enroll in health insurance through the Marketplace and MO HealthNet (Missouri’s Medicaid program).
  • Health Insurance Literacyhelping consumers have the knowledge, ability, and confidence to find and use information about health plans; choose the best plan for their own finances and health; and use the plan once enrolled.

CPHSS serves as the external evaluator for Missouri Foundation for Health’s Expanding Coverage Initiative. The evaluation uses a mixed-methods approach based on process, implementation, and outcome evaluation best practices. CPHSS is responsible for evaluating a subset of the work being implemented through the Initiative. This subset of work includes the activities conducted by the Expanding Coverage through Consumer Assistance program grantees, Health Insurance Literacy program components, Cover Missouri Coalition components, and the activities conducted by the Grassroots Outreach to Maximize Enrollment program grantees.  

In addition to evaluation activities, CPHSS provides grantees with technical assistance and training on evaluation approaches via email, over the phone, or in person, as needed. CPHSS also participates in Initiative-level planning with MFH by attending planning and contractor meetings.

The evaluation team uses several methods for disseminating Initiative findings, including monthly dashboard reports tailored to each grantee and MFH, presentations, and yearly evaluation reports.

See Expanding Coverage Initiative evaluation products.

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