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

In 2013, the Missouri Foundation for Health (MFH) established a five-year initiative to expand health insurance coverage in the state. The goal of the Expanding Coverage Initiative (ECI) is to reduce the uninsured rate in Missouri to less than 5 percent in 5 years through three strategies:
  • Awareness - engaging the uninsured population by creating broad awareness of health insurance options and the availability of subsidies in the new health insurance Marketplace.
  • Enrollment – facilitating enrollment of eligible individuals into public and private coverage options.
  • Health Insurance Literacy – helping Missourians have the knowledge, ability, and confidence to find and evaluate information about health plans; select the best plan for their own financial and health circumstances; 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 tracks various grantee activities though an online reporting system, summarizes the core data set metrics, evaluates the effectiveness of the Initiative, and identifies themes related to the successes and challenges experienced by grantees in their program implementation.

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 quarterly 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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