We know that we can be relatively successful in enrolling inpatients in public programs. However, outpatients are much more difficult to enroll since we have a limited contact with them. The change in policy which disconnects welfare benefits from Medicaid has decreased enrollment. Finally, although our public health programs are comprehensive, they are very complex. Application is through a 22 page form.
Many clients are unable and some are unwilling to complete the forms and the application process.
We estimate it takes about 4 hours of Hennepin County staff time to enroll a fully co-operative patient. Enrollment should be no more difficult than applying for a credit card from a commercial retailer. Current outreach funding should be targeted to counties. We could do much more in the community if we had adequate funding. This makes it even more difficult for our staff to find funding for uncompensated care.