Outreach & Enrollment Calculator Overview

  • Outreach & Enrollment Calculator Purpose

    The purpose of the outreach and enrollment calculator is to estimate the net financial benefit to the health center from investing in recruiting and enrolling new patients in health insurance, and converting existing uninsured eligible patients.

    This calculator is designed to estimate resources needed to enroll both current patients and those new to the health center. Research with health center leaders revealed that many health centers termed the eligibility and enrollment of current uninsured patients “inreach.” For the purposes of this calculator, we estimate resources independently for outreach and recruitment tasks targeting patients new to the health center and eligibility and enrollment tasks targeting both current patients and those new to the health center.

  • Use the Outreach & Enrollment Calculator if:

    • Your health center either currently engages in outreach and recruitment tasks for the purpose of providing referrals to eligibility assistance or is interested in doing so.
    • Your health center either currently provides eligibility assistance services or is interested in doing so.
    • You are interested in calculating the estimated financial benefit from investing in recruiting and enrolling new patients in health coverage and converting existing uninsured eligible patients.

     

Before you use the outreach & enrollment calculator

Collect your data points

In order to complete the calculator, you will be asked to provide specific data points unique to your organization. In addition, you will be required to enter projections and estimated percentages at times. In order to help you complete the calculators, it may be helpful to collect the following key data points to the extent the data is available:

  • Current number of uninsured patients
  • Estimates of eligible buy not yet enrolled patients for Medicaid and the Marketplace
  • How many visits per patient per year on average (Medicaid, Marketplace, Self-pay)
  • Average reimbursement rates per visit
  • Collection rate percentages for Medicaid, Marketplace, Self-pay
  • Outreach AND enrollment daily contacts per FTE
  • Average number of times outreach workers contact a targeted enrollee
  • Percentage of potential enrollees successfully enrolling after meeting with an assister
  • Outreach AND enrollment worker days worked per year per FTE
  • Outreach AND enrollment worker annual salary, fringe percentage, overhead percentage, and supplies percentage.

Outreach and Enrollment Calculator