Today, September 25th, we celebrate National Voter Registration Day. National Voter Registration Day is a day of action before state deadlines begin in October. Last year, millions of Americans didn’t vote because they missed a registration deadline or didn’t know how to register.

This upcoming Midterm elections are especially important for Nebraska. On November 6th, Nebraskans will be asked to vote on Initiative 427, which can expand Medicaid to an estimated 90,000 low-income Nebraskans and provide health coverage to those that desperately need it.

Medicaid Expansion will have a profound effect on thousands of hard-working Nebraskans who are working desperately to pull themselves out of poverty.  Patients with chronic disease such as diabetes are much more likely to have their conditions under control if they have health insurance.   Moreover, they are more likely to have serious diseases diagnosed earlier so treatment can begin sooner.  Expanding Medicaid will ensure families get access to preventative care, leading to overall improved well-being and avoiding costly trips to the emergency room.  A recent study of Medicaid Expansion in Ohio, conducted by The Ohio Department of Medicaid, found that emergency room utilization decreased 17%, 37% of smokers enrolled in the expansion program were able to quit, and 97% of those with an opioid addiction received treatment.

So, this National Voter Registration Day, I encourage you to get registered to vote. If you recently moved, turned 18, changed your name, or haven’t voted in recent elections, you need to update your voter registration!  All it takes is 30 seconds to register to vote online at

And when it comes time to vote on November 6th, I encourage you to vote FOR Initiative 427. Everyone deserves the peace of mind that comes with having access to health insurance.


By: Angela Lindstrom

Integrated Marketing Director


The Envolve Vision Van stopped in Omaha and Lincoln, June 21st and 22nd, providing 108 Nebraskans with FREE vision screenings, and access to prescription and/or reading glasses. The “SeeMore” Vision Van, a collaboration between Envolve and the Association of Clinicians for the Underserved (ACU), visited six Nebraska Community Health Centers in the last nine months providing a total of:

  • 395 screenings
  • 294 prescription glasses
  • 92 reading glasses


This June, local Optometrists volunteered their time and expertise to screen patients at three Nebraska Community Health Centers. Health center staff organized on-site volunteers, translation services, and any additional support needed to ensure each event ran smoothly. The opportunity to assess patients’ sharpness of vision, need for corrective lenses, and screen for degenerative eye diseases (diabetic retinopathy, cataracts, glaucoma) showcased the enormous need for vision services within our communities.


HCAN is thankful for the Envolve Vision Van and their support of Nebraska Community Health Centers!


written by Jenna Thomsen, Director of Training and Technical Assistance

May is here, which means warmer weather is on its way, and school is almost out of session for summer break!  But it also marks the annual kickoff of a very important season of giving  – Nebraska’s Community Giving Days.  During specific days in the month, communities all around the state rally around hundreds of nonprofits to help raise money and awareness for their organizations.  The Giving Days is a 24-hour event where excitement and energy is generated around giving to local organizations.

However, choosing a nonprofit to give to can be intimidating.  Which one do you choose?  This year, we at HCAN would like for you to consider giving to any one of our Nebraska community health centers. In Nebraska, the community health centers served over 94,000 patients last year.  Nebraska’s community health centers ensure that all individuals have access to high-quality medical, dental, and behavioral health care, regardless of ability to pay.   Health centers are the safety net providers in the state, ensuring comprehensive, community-based, culturally appropriate healthcare in a compassionate and respectful environment.

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 nearly 50% of our patients lacking health insurance.

When thinking of where you will be donating to this year, please consider giving a donation to any one of the community health centers in Nebraska.  Even the smallest gift can make a big difference to the patients we serve.  Your gift will directly help those vulnerable populations who would otherwise not have access to primary and preventative care.  For many patients, health centers may be the only source of health care services available in their community. You have a chance with your donation to make a powerful, yet critical difference in many lives.

During the month of May and the Giving Days to come, please take a moment to find your community’s Giving Day at and choose one of Nebraska’ community health centers. Your donation is appreciated!

-Angela Lindstrom

Integrated Marketing Director

Health Center Association of Nebraska

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, 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




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 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






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 or contact a Nebraska health center today. Help us rock enrollments!

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

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 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!

            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 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 or

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

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.”