Health Company Seeks To Enroll The Uninsured

By Andy McKeeveriBerkshires Staff
Print Story | Email Story

PITTSFIELD, Mass. — The Affordable Health Care Act is here. Some are finding it complicated to navigate, but it doesn't have to be.

Community Health Programs Chief Executive Officer Bryan Ayars says the nonprofit health agency is upping its efforts to help people and get enrolled in health insurance programs.

Massachusetts, which created the successful template for the federal health insurance law, is lagging behind other states in enrollment in part because of glitches with its health exchange website. And some residents may not realize they are now eligible.

Ayars said there are some 10,000 individuals in the county who are now eligible for insurance under the federal law, and he wants to find them and get them signed up.

"Our sense is that there are a lot of people frozen in place in making a decision," Ayars said on Tuesday. "We want to make sure as many people in Berkshire County who are qualified for health insurance gets it."

The state's overall rate of uninsured is 2 percent but 9 percent of CHP's patients, who come from throughout the county, have no insurance.

The group has launched BerkshireAffordableCare.org and will be hitting the radio airwaves, Facebook, posting billboards and getting into communities to find those who either don't have health insurance or are enrolled in plans that are too expensive.

"We've had enrollment specialists for years but in the last six months to a year, we've ramped up those activities," Ayars said. "We're looking to enroll whoever is interested."

CHP isn't the only organization helping enrollment. Ecu-Health Care in North County and Berkshire Health Systems' Advocacy for Access program have both ramped up enrollment activities. All three entities were designated access providers last fall and provided with federal funding to support enrollment activities.

But it isn't a competition, Ayars said. The benefit for the organizations is when people have insurance, they see doctors more often.

Ayars said Berkshire County ranks near the bottom in the state for health outcomes. He believes the Affordable Health Care Act has helped break the barrier of insurance coverage for many who otherwise wouldn't have seen a doctor.

"It's important to us that patients have insurance," he said. "The Berkshires are ranked 11th out of 14 in health outcomes so there is a lot of work to be done."



With the new federal law, individuals making up to $45,900 annually can receive government assistance for their plans and a family of five making up to $110,000 annually. But many people don't know that they qualify, Ayars said, and many think that since they already have insurance, they wouldn't get any additional help.

"There are a lot of people who don't know if they qualify for insurance," he said.

In the Berkshires, 90 percent of businesses are exempt from having to pay into insurance programs because of their size, which leaves many individuals paying a lot for insurance.

"Many people may be surprised that they are eligible for more affordable health care insurance. Particularly, this is a wonderful option for employees of small business who have been challenged with the high cost of health insurance," Ayars said. "In addition, there are many families who rely on income from multiple jobs that may not provide insurance. This offers a critical safety net for these families."

Through BerkshireAffordableCare.org, residents can set up a meeting with one of five coordinators the organization has on staff. Ayars said CHP has been setting up more than 30 meetings a week to help residents enroll.

Community Health Partners has offices in Pittsfield, Great Barrington and Lee but will serve residents from all over the county.


Tags: ACA,   health insurance,   

If you would like to contribute information on this article, contact us at info@iberkshires.com.

Pittsfield School Officials Want Summary of PHS Investigation

By Brittany PolitoiBerkshires Staff

PITTSFIELD, Mass. — While it is unclear how much information will be released, School Committee members want some executive summary of the Pittsfield High School investigation into alleged staff misconduct.

On Wednesday, they requested a capsulation of the process and, if possible, the findings of Bulkley Richardson & Gelinas' investigation triggered by allegations against Dean of Students Molly West and Vice Principal Alison Shepard that surfaced in December.  

"Right now, the public has the seven of us sitting up here saying nothing was substantiated," said Mayor Peter Marchetti, who motioned for an executive summary.

"And quite frankly, part of the argument may be its cost, but how much money have we already spent and how much time have we gone down this rabbit hole to still have this black cloud hanging over our head without the public buying into anything that happened?"

As far as he is concerned, the city is "in for a penny in for a pound." The lead investigator, Judge Mary-Lou Rup, was hired at a rate of $275 per hour and paralegal services for $110 per hour.  

"And whatever legal counsel can produce, I think that we have to live with it, but to just say we're not doing it at this stage in the game I think is a mistake," he said.

Committee member William Garrity requested that discussion about the investigation's reports be put on the agenda. The district's legal counsel has reportedly advised against releasing the report even though officials pledged transparency when the scandal arose.

"I feel there is at least some balancing act that we need to figure out between protecting the privacy of the report and people being investigated and people who are part of the investigation while still maintaining the public's right to know," he said.

View Full Story

More Great Barrington Stories