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The Open Enrollment concert rocked!

The Certified Application Counselors (CACs) and other assisters throughout the state of Nebraska rocked Open Enrollment 5! The concert was executed smoothly with a nice balance of lights to complement the music.

How many consumers enrolled?

This year, 88,213 Nebraskans signed up for health insurance through the Health Insurance Marketplace. Why is this a big deal?  Take a look at the enrollment numbers for previous years and you can see why assisters are rejoicing.


For 2018 coverage:   88,213   5th open enrollment   November 1, 2017 – December 15, 2017

For 2017 coverage:   84,371   4th open enrollment    November 1, 2016 – January 31, 2017

For 2016 coverage:   87,835   3rd open enrollment    November 1, 2015 – January 31, 2016

For 2015 coverage:   74,152   2nd open enrollment   November 15. 2014 – February 15, 2015

For 2014 coverage:   63,776   1st open enrollment    October 1, 2013 – March 31, 2014

Note: CMS started to report state-level plan selection figures after January 9, 2015.


All hands were on deck to help spread the word about open enrollment. I probably annoyed many people by using my personal social media platforms to educate those I know. What was enlightening to me were the stories shared by individuals who were able to find affordable health insurance.

On Healthcare.gov, there was a tool that allowed consumers to explore the plans offered in their state. While many of the prices listed were high, many consumers were surprised by how affordable a plan was for them once they completed an application and were able to see what tax credits and/or cost sharing reductions they received.

In fact, many consumers were able to receive free health insurance. That’s right – many qualified for free plans based upon their income.

So, as I stated before, the assisters in Nebraska rocked hard. Fans at the concert enjoyed the performance, especially the epic encore.

To everyone that helped ensure a successful concert…..Great work! We did it.





-Keshia Bradford, Director of Strategic Initiatives, Health Center Association of Nebraska



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Open Enrollment 5 – Only 10 more days to sign up for health insurance!

Get Ready for a Performance of a Lifetime!

The crowd is ready…

The performers take the stage…

The curtain goes up…

The performers play and the crowd goes wild!!!







That’s how I think about the outreach and enrollment staff at the health centers. They practice (train) for the Open Enrollment and once it begins, all that practice (training) begins to take hold.

How is Open Enrollment going?

Rockin’! Open enrollment is going very well. Signing up has been going well for many consumers and Certified Application Counselors (CACs) at the health centers. Despite the lack of advertising funding used to promote Healthcare.gov and reduced number of trained assisters, more consumers are signing up for health insurance plans than expected. Each week, we are seeing enrollment numbers climbing higher. In fact, enrollment numbers this year are higher than in years past based upon the same number of days into Open Enrollment. In Nebraska we have enrolled 32,759 from November 1st to November 25th.

Counselors from the health centers have reported that many consumers have been shocked by how affordable their health insurance has been. For many, qualifying for the tax credits has helped tremendously lower their monthly payments.

There have even been a few consumers remark how nervous they were about how much their insurance was going to be until they were able to see for themselves how affordable their plan was.

Health center CACs are seeing their schedules bustling with appointments and walk-ins. We still have a couple weeks before Open Enrollment ends (December 15th). We are anxiously awaiting the final enrollment numbers.

In other words, the performers are in the middle of their set. The crowd is enthusiastically reacting to the music.

Will there be an encore after the final set? Stay tuned.


-Keshia Bradford, Director of Strategic Initiatives, Health Center Association of Nebraska


Time to Rock Enrollments






What does rock have to do with enrollments? Everything. Yes, everything. Hear me out.


Here at HCAN, I have been rocking out to new information at the federal level and providing updates to the Certified Application Counselors (CACs) in a timely manner. Back in September, there was a 1½ day rock concert (training) filled with a variety of sessions that complemented the required federal CAC training. Since the concert, weekly updates have become more important as new information becomes available.

New information

Examples of information that has been shared:
• 2018 Open Enrollment begins November 1st and ends December 15th 2017- only 45 days long.
• Affordable Care Act (ACA) is still the law.
• Tax penalties still exist. Depending on income, you can be subject to a fine of $695 or 2.5% of your income, whichever is greater.
• Medica is the only insurance company in Nebraska offering plans on the Health Insurance Marketplace.
• Eligibility for premium tax credits and Cost Sharing Reductions (CSRs) to lower out of pocket costs hasn’t changed. Even if the administration stops making CSR payments to insurance companies, consumers will still receive these reductions.

Rock and Enrollments do go together

As I mentioned earlier, there has been a lot of rocking going on in preparation of Open Enrollment. So much rocking took place, that enrolling time is almost here. CACs across the state of Nebraska will rock enrollments in the coming weeks.

Need more proof? Here is proof that rock enrollments go together: Nebraska coalition video.

If you know of anyone that needs health insurance, have them visit healthcare.gov or contact a Nebraska health center today. Help us rock enrollments!

-Keshia Bradford, Director of Strategic Initiatives, Health Center Association of Nebraska

HCAN CEO addresses the Health Center Funding Cliff

Healthcare has dominated much of the political and public debate in the last twelve months.  Repeal, replace, subsidies, CSRs, who’s in and who’s out of the Marketplace, how many insurers are in a given county.  With the introduction of the Graham-Cassidy bill last week, there is one more attempt to fundamentally change how healthcare is paid for and delivered.  However, there is a critical part of the healthcare debate that is receiving little attention – and time is running out.


For over 50 years, Federally Qualified Health Centers, or community health centers, have provided comprehensive, community based, medical, dental and behavioral health care to everyone, regardless of insurance status or ability to pay.   During those 50 years, health centers have received strong bipartisan support, and have grown to serve nearly 26 million people nationwide.  Funded through a combination of federal dollars, foundation grants, and patient revenues, health centers are a cost-effective source of care delivery.  Without Congressional action by September 30th, 70% of that federal funding will end, putting health centers and the patients they serve in jeopardy.


In Nebraska, our seven health centers served nearly 85,000 patients last year.  Ninety percent of our patients are low income, and one out of every four uninsured individuals in our state receives care at a health center.  In fact, Nebraska has the second highest rate of uninsured patients across all health centers in the nation, with 50% of our patients lacking health insurance.  The very funding that is at risk at the federal level is intended to care for this population and is at the core of the health center mission.  If Congress fails to act, Nebraska health centers will lose $13.2 million dollars.  Most importantly, our patients will lose access to critical services.  Loss of funding will result in reduced hours, staff eliminations, and reduction of services and clinic locations, forcing patients to access more expensive emergency room visits or forego care all together.


Health centers are a key component of the health care delivery system in Nebraska.  In some rural areas, we are the only provider accepting new Medicaid patients.  Patients travel hundreds of miles round-trip to visit a health center because they cannot access care anywhere else.  Our dental clinics have three to six month waiting lists because of the need for access to care.  Now is not the time to put funding at risk.


With all of the noise surrounding health care, it is critical that the health center funding cliff receive the attention it so desperately needs.  Congress must act before September 30th.  Access to care for the most vulnerable among us is at risk.

Keshia Bradford Wins Emerging Leader Award in Washington, DC

Keshia Bradford Award - Emerging Leader 3-19-2016 compressed1

Keshia Bradford, MPA, Director of Outreach and Enrollment & Strategic Initiatives for the Health Center Association of Nebraska (HCAN) was awarded George Washington University’s Geiger Gibson Emerging Leader Award in Washington, DC.

The award was given during the National Association of Community Health Center’s Policy & Issues Forum held in Washington, DC from March 16-19, 2016.  The Emerging Leader Award is designed to highlight and share the accomplishments of young members of the community health center and Primary Care Association (PCA) family.  The Geiger Gibson Program in Community Health Policy at George Washington University in Washington, DC seeks to honor a leader who has undertaken or guided a specific task that has helped the health center or PCA further the mission of providing high-quality, culturally competent health services to underserved populations.

“All the membership of the Health Center Association of Nebraska is so proud of Keshia’s accomplishment in receiving this prestigious national award,” said Amy Behnke, CEO of HCAN.  “Keshia has been a part of HCAN from its beginning and bringing home this honor to such a young association speaks volumes about her hard work and dedication to Nebraska’s safety net health centers.”

Keshia Bradford Emerging Leader award 3-19-2016 croppedKeshia’s work in Outreach & Enrollment fostered many partnerships throughout the state and the nation.  One such partner is Families USA.

“We would like to take this opportunity to issue a heartfelt congratulations from Families USA to Keshia Bradford for receiving the Geiger Gibson Emerging Leader Award at this year’s National Association of Community Health Centers conference, said Jessica Kendall, Director of the Enrollment Assister Network at Families USA. “Keshia and the talented team at the Health Center Association of Nebraska have done a tremendous job reaching uninsured and under-insured residents in Nebraska and this award is well deserved!”

Keshia is a graduate of University of Nebraska at Omaha Master’s of Public Administration program and a graduate of Creighton University’s Health Administration and Policy program. Keshia is currently enrolled in Creighton’s Interdisciplinary Doctorate of Education in Leadership program. Keshia became passionate about health centers when she interned at OneWorld Community Health Centers, Inc. in Omaha during her undergraduate years.

When the Health Center Association of Nebraska was first established in 2011, Keshia became HCAN’s first intern. After completing her graduate degree, Keshia began her career working at All Care Health Center in Council Bluffs, IA as a Director of Operations. Keshia joined HCAN in July 2013 as Director of Strategic Initiatives, a position she still holds along with Director of Outreach and Enrollment.  Keshia lives in Council Bluffs, Iowa, and commutes to the HCAN offices in West Omaha.

Congratulations, Keshia, for outstanding work!  You are so deserving!

Open Enrollment 3 Begins!

            LindstromColorSubmitted by Angela Lindstrom, HCAN Integrated Marketing Director

It is amazing that we find ourselves at the beginning of yet another Open Enrollment period. We wanted to take a moment and recognize all of the efforts our Nebraska Community Health Centers have done in assisting the uninsured in gaining access to affordable health insurance.

Last year, over 77,000 Nebraskans were able to obtain health coverage, with over 17.6 million people nationwide signing up for insurance through the Affordable Care Act. Overall as a nation, the uninsured rate declined from 20.3% to 12.6%, a 38% reduction. (First Capital Consulting, 2015). Our Community Health Centers work tirelessly to provide enrollment assitance to clients who are finding health coverage for the first time or re-enrolling in a current plan that best fits their needs. Their role in making sure that people get enrolled and stay enrolled is vital to their communities, and we commend their work. They continue to foster relationships, share reources and develop outreach strategies to better meet the changing needs of Nebraskans.

This year’s Open Enrollment began November 1st and goes until January 31st, 2016 for those who are looking to get insured or re-enroll in a current plan. As the uninsured become harder to reach, it is important for our Centers to make sure that clients who signed up for coverage last year stay covered and reach folks who still do not have coverage to get covered.

Here are some important things to note about this year’s Open Enrollment:


  • Financial assistance is available to lower monthly costs. More than 7 in 10 current Marketplace enrollees can get coverage for $75 a month in premiums or less with tax credits.
  • Signing up is easier. Upgrades have been made to HealthCare.gov that will help new and returning consumers understand their coverage options in their area, compare plans side by side, and easily evaluate which plan best meets their needs this year.
  • New plans and prices are available. That means options for plans, doctors and costs could all change, along with the amount of financial help that is available. By taking a few simple steps, a consumer can make sure they are getting the best option for their healthcare needs.
  • In-person Enrollment help is available. Free and confidential assistance is available by visiting any one of our NebraskaHealth+ Community Health Centers.

Additional resources are available at HealthCare.gov or CuidadoDeSalud.gov.

Key dates and deadlines


  • November 1, 2015: Open Enrollment starts for 2016
  • December 15, 2015: Enrollees who want to change plans must act by December 15; new coverage will start January 1
  • December 31, 2015: Coverage ends for 2015 Marketplace plans
  • January 1, 2016: Coverage can begin for 2016 Marketplace plans
  • January 31, 2016: Open Enrollment ends

At HCAN, we are immensely proud of our Community Health Centers and the gains they have successfully implemented in recent years because of the Affordable Care Act, and we certainly look forward to serving and supporting them as they provide healthcare homes for the underserved.

Thanks to the Affordable Care Act, millions of Americans have security, financial peace of mind and access to lifesaving care. Today, our work begins to make sure even more Americans can find that financial peace of mind and better health.

—Secretary Burwell


Works Cited

First Capital Consulting. (2015, October 1st). ACA Times. Retrieved from www.acatimes.com

Guest Blog – “500 by the 15th” Campaign to Encourage Nebraskans to Get Health Coverage

By Guest Blogger Jeff Sheldon, Communications Director, Nebraska Appleseed

Statewide health care organizations available to provide free assistance

Today, community and health care organizations across Nebraska announced the kickoff of a new effort to ensure Nebraskans get vital health insurance in December.

The “500 By The 15th” campaign seeks to help Nebraskans who need health coverage, but may feel they cannot afford insurance, to explore their options using free, in-person assistance that is available statewide.

Enroll Nebraska, a statewide network of health care providers, community organizations, in-person assisters, and advocacy groups, announced the goal of helping 500 Nebraskans enroll in coverage or renew coverage through the Health Insurance Marketplace by December 15.

“Nebraska is a better, stronger state when our people are healthy, and part of maintaining health is being able to get needed medical care,” said Keshia Bradford, Director of Outreach and Enrollment for the Health Center Association of Nebraska. “The Health Insurance Marketplace has many different options for coverage for Nebraskans, and with tax credits, plans are affordable.”

To help reach the goal of helping 500 Nebraskans enroll or renew in coverage by December 15, organizations are planning extended hours, special events to promote enrollment assistance, or increased outreach efforts to spread the word about the free help that is available for Nebraskans to look at different insurance plans.

Nebraskans can get assistance to understand health coverage options at local Community Action Partnerships, local public health departments, or members of the Health Center Association of Nebraska. See this map to find free local help. Or people can get help over the phone by calling, toll-free 1-800-318-2596.

“During the last enrollment period, more than 40,000 Nebraskans signed up for the health coverage through the Health Insurance Marketplace. It was a huge success in our state,” said Eric Savaiano, Statewide Coordinator for Enroll Nebraska. “We want to continue that success this year by helping even more Nebraskans get the health coverage that leads to healthy families, productive employees, and strong communities.”






The Health Center Association of Nebraska – Impacting Public Health by Fulfilling Its Mission


By Robbie Adams, Communications Manager, HCAN

Federally Qualified Health Centers (FQHCs) serve over 22 million people in more than 9,000 sites across urban, suburban, and rural America. FQHCs are particularly adept at reducing health disparities by breaking down barriers to health care such as lack of providers, lack of culturally appropriate health services, and unaffordability. Since FQHCs serve everyone regardless of their ability to pay, they save the American health care system $24 billion a year by lowering more costly trips to emergency rooms.

Nebraska’s Community Health Centers

Nebraska has seven FQHCs with 30 clinic sites. To help Nebraska’s FQHCs improve their ability to provide access to high quality, affordable health care, the Health Center Association of Nebraska (HCAN) was formed in 2011. HCAN’s mission is to support Nebraska’s FQHCs, as they provide comprehensive medical homes for the medically underserved.

Together, the member health centers of HCAN served over 64,376 Nebraskans in 2013, 51% of whom were uninsured and 66% of whom had incomes at or below 100% of the federal poverty level, Nebraska’s FQHCs truly reach people and communities most in need.

With offices in Omaha, HCAN is an association of FQHCs in Columbus, Gering, Grand Island, Lincoln, Madison, Norfolk, Omaha, and Plattsmouth. These health centers provide comprehensive health care services, including medical, dental, behavioral health, and pharmacy components. In addition, all services are provided in a culturally sensitive environment for refugee, minority, and low-income communities, including translation services in several languages.

HCAN’s Impact on Public Health

Nebraska’s FQHCs are supported in part by both federal and state funds, in addition to patient fees. Because of this funding, health centers are able to take advantage of a host of disease prevention and health promotion initiatives through the U.S. and Nebraska Departments of Health and Human Services. The health centers are meeting and improving on quality benchmarks set by these funding sources. Their hard work to improve access to care by outreach and enrollment efforts helped lead to nearly 43,000 Nebraskans being newly insured through the Health Insurance Marketplace. The centers’ certified application counselors are educating patients on how their new coverage can be used to prevent disease and better manage chronic illness.

While HCAN’s emphasis is on lessening health care disparities and championing health care equity, from its very beginning, it has fostered partnerships with UNMC’s College of Public Health and other entities promoting the health of all Nebraskans. By offering up-to-date training and technical assistance, partnerships with health care organizations and government health offices, and effective advocacy for the medically underserved, HCAN will continue to impact Nebraska’s FQHCs and ultimately, the health and well-being of all Nebraskans.


This article was adapted from one that appeared in the Sept. 30, 2014 UNMC College of Public Health Newsletter – The Groundbreaker. HCAN is found on Facebook at www.facebook.com/HCANebraska, and on Twitter at www.twitter.com/HCANebraska.


Reflecting upon the 1st Enrollment Period

LindstromColorBy Angela Lindstrom, Social Marketing Director, HCAN 

It’s hard to believe that the first open enrollment period has come and gone with millions of people now having access to health care coverage. We now have the opportunity to look back and see all that was accomplished through our health centers and really reflect upon what was done and learned through the last six months.

Part of that learning was done here at the HCAN office, through my personal onboarding in December.  I was hired as the Social Marketing Director to collaborate marketing efforts for the health centers and inform people about their new options through the ACA. My past experiences in healthcare and marketing brought an interesting dynamic to HCAN, and I have had such a wonderful time learning more about how the health centers operate. From billboards to radio, advertisements to direct mailers, it’s certainly been a busy couple of months on the marketing side of things.  I’m so appreciative of everything everybody did to help direct such an extensive effort.

Through your help, we were able to reach more than 89,000 people through local free publications, outdoor advertising, Spanish radio and even direct mailers. At the end of the 1st enrollment period, it was announced that more than 8 million Americans had picked plans on the Health Insurance Marketplace, and now those people have peace of mind and affordable health coverage.  I’m ecstatic to be part of such a historical time for our nation, knowing that what we are doing is helping people everywhere.

We, at HCAN, can reflect upon this past enrollment period with profound pride for all that our health centers did to get people enrolled.  From the CAC’s who gave up their weekends to talk to consumers at events, to the CEO’s and Directors who worked with patience and persistence to make sense of numbers and provide guidance, this has been a group effort and we are proud of everyone. Thank you for making a difference. This would have not been possible without the unprecedented collaboration from all of our health centers.

As we find ourselves at a much deserved break, we know and understand that there is more work to do in the coming weeks and months to continue connecting consumers to affordable health coverage.  We can take what we learned from successful strategies and work out a plan to continue that success for the next open enrollment. I look forward to being able to support our community health centers and assist them in getting the uninsured in their communities access to health insurance coverage. Please don’t hesitate to contact me with any questions or ideas. I’m happy to help out and be here for you!

Angela Lindstrom
Social Marketing Director

Email: alindstrom@hcanebraska.org    Phone: 402-932-3147



Outreach & Enrollment

Outreach & Enrollment.  Just two words but now so much more meaningful.  From just going out into the community, Outreach now means a tireless effort to help individuals who may qualify for affordable health insurance, possibly for the very first time.  From just getting enrolled to enter a sport or a school, Enrollment now means peace of mind for thousands of Nebraskans who will get new help with medical expenses at a price they can afford.  For those of us working in Outreach & Enrollment from Community Health Centers, it means reaching people of various ages, ethnicities, and educational backgrounds for the common goal of enrolling in health insurance.

This is why I am here.  I am excited to be a part of this historic effort to increase access to health care and the insurance that helps pay for it.  I have always wanted to help others and I am able to do so by providing Outreach & Enrollment assistance to health centers throughout the state of Nebraska.  How awesome is that?  Pretty awesome.  I am fortunate enough to meet and work with people at our health centers who see the challenges they are up against.  They do not back down, standing for what they believe is right for the people they serve.  Kudos to you, health centers!

The other day, I was asked to do a Health Insurance Marketplace presentation on a Sunday afternoon to a group of refugee women.  The address I was given led me to a tiny Asian grocery store.  Within a few minutes I was given delicious Thailand coffee.  (By far the best coffee I have had.  I really like my coffee creamy.  Anyway, trust me, it was good coffee.)  I soon learned that their meeting place changed every time they met because they did not have a designated spot.  I saw how committed these women were because they are starting an organization unlike any other in Omaha in order to take the information from my health care reform talk to their populations.  I began my presentation and the time flew.  The conversations around the table were great.  I was able to give them many resources which they, in turn, will provide to their diverse refugee groups.  These women are committed to spreading the word that health insurance may be available to help their own communities in need.  Again, how awesome is that?  People taking the initiative to help educate others.

Do these women inspire you?  Here’s what you can do to help:

Please contact me if you have health care reform questions.  I would love to help you get the information you need.

Your Partner for Health Care Access,

Keshia Bradford

Director of Outreach & Enrollment