« July 2014 Issue
Introducing...On Message
Midway through the Affordable Care Act open enrollment period, a survey by Enroll America unearthed a key finding: lack of awareness about financial assistance available under the law was the biggest impediment to enrollment among the uninsured.
These survey findings led to a major change in strategy as groups enrolling consumers shifted their emphasis to promoting financial assistance in their outreach, education and communications efforts. The strategy proved fruitful, as enrollment surged in the final months of open enrollment, overcoming earlier problems related to the website and far surpassing expectations.
This story illustrates the important role research plays in shaping communications strategies for advocacy campaigns. From national polls to help gauge public opinion or focus groups to test messages with target audiences, advocates have relied heavily on research to develop effective messaging and communications throughout passage and implementation of the Affordable Care Act. With the April launch of “On Message,” we have introduced a new effort to provide research and messaging support to the health advocacy community on the ACA and other emerging health issues.
Led by the Community Catalyst communications team, On Message was born as a result of a merger with The Herndon Alliance (Herndon), a nationwide non-partisan coalition of minority, labor, advocacy, business and health care provider organizations, that had been started and led by Seattle physician Dr. Bob Crittenden. Herndon’s vision was to reframe the health care reform discussion from one that was policy driven to a conversation that was “values-based.” The goal was to help a larger portion of the population understand how reform could improve health care affordability and security in their own lives. Health advocates relied on Herndon for research and message guidance on everything from public opinion on the ACA to changes in the health care delivery system. Herndon also regularly convened national advocacy groups in Washington, DC to coordinate the work of member groups and align their communications strategies.
Crittenden left Herndon last year to become a Senior Health Advisor to Governor Jay Inslee in Washington. Following that transition, Herndon began a collaboration with Community Catalyst to carry out its work through the first ACA open enrollment period. During this time, we saw there was still a significant need for effective research-backed messaging and communications assistance around efforts to defend the law and promote positive outcomes. Health advocates also sought a forum through which they could come together to strategize.
On Message is continuing three major components of Herndon’s prior work. First, we are focusing on polling and research on emerging health care issues that are in need of communications strategy and message development and communications tools. Thanks to generous support from The Atlantic Philanthropies, The Missouri Foundation for Health, The California Endowment and another foundation that wishes to remain anonymous, we have developed a messaging narrative on the popular prevention coverage benefits available to new enrollees, hosted a webinar for state advocates to share prevention messaging, and conducted a radio tour in partnership with state advocates in six states that led to interviews that aired on 1,068 radio stations. On Message also partnered with Media Matters to hold the media accountable for its reporting in ten states, and we are working with the Center for American Progress to build a positive narrative around the ACA. Toward that end, we created “the ACA is working” messaging based on enrollment numbers, research pointing to number of people benefitting from specific provisions of the law and encouraging economic data to build a positive drumbeat about the impact of the law.
Second, On Message continues to host national convenings in Washington, DC of health advocacy groups to identify emerging issues and circulate research findings, messaging and communications tools. We have held three convenings to date, which have included presentations by pollsters Michael Perry of PerryUndem and Celinda Lake of Lake Research Partners.
Third, we produce a daily “On Message” news summary of key articles to inform allies about the latest developments surrounding the Affordable Care Act and related health care issues, and to disseminate key messages and resources to nearly 2,000 health care opinion leaders.
Moving forward, our goal is to provide research and messaging support on health care issues beyond the ACA, and to ensure messages and materials support the work of national and state advocates, who often require a more tailored approach given the differences in the political and policy environments in which they operate.
We have big shoes to fill as we work to continue and build on the work of Herndon, but we have embraced this opportunity to provide critical communications assistance to the health reform movement, and look forward to the challenges ahead.
Kathy Melley, Director of Communications and On Message