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Health Care for All, Inc.

 One Federal Street, 5th Floor
 Boston, MA 02110
[P] (617) 275-2982
[F] (617) 451-5838
www.hcfama.org
[email protected]
Kerry Belanger
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INCORPORATED: 1985
 Printable Profile (Summary / Full)
EIN 04-3071598

LAST UPDATED: 07/02/2018
Organization DBA HCFA
Former Names --
Organization received a competitive grant from the Boston Foundation in the past five years Yes

Summary

Mission StatementMORE »

Health Care For All (HCFA) promotes health justice in Massachusetts by working to reduce disparities and ensure coverage and access for all.

We know we will have achieved this mission when everyone in Massachusetts has the equitable, affordable and comprehensive care they need to be healthy.

Mission Statement

Health Care For All (HCFA) promotes health justice in Massachusetts by working to reduce disparities and ensure coverage and access for all.

We know we will have achieved this mission when everyone in Massachusetts has the equitable, affordable and comprehensive care they need to be healthy.


FinancialsMORE »

Fiscal Year July 01, 2017 to June 30, 2018
Projected Income $2,199,984.00
Projected Expense $2,135,850.00

ProgramsMORE »

  • Coalition Work
  • Consumer Health HelpLine
  • Education and Outreach
  • State Legislative and Regulatory Advocacy

Revenue vs. Expense ($000s)

Expense Breakdown 2017 (%)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

Health Care For All (HCFA) promotes health justice in Massachusetts by working to reduce disparities and ensure coverage and access for all.

We know we will have achieved this mission when everyone in Massachusetts has the equitable, affordable and comprehensive care they need to be healthy.


Background Statement

Since 1985, HCFA has worked statewide to connect individuals and families to quality, affordable health coverage; educate and engage consumers in health policy discussions; and advocate for consumer-­centered health care access, delivery, and payment reforms. While all residents benefit from HCFA’s work, HCFA focuses specifically on the needs of lower-­income residents, individuals with disabilities and/or chronic illnesses, immigrants, recipients of publicly-funded coverage, and individuals with limited English proficiency. HCFA is the grateful recipient of the Stand for Children Award (1997); The David H. Mulligan Award for Leadership and Public Service (2001); The Boston Foundation Out of the Blue Award (2005); Recognition Award from the Massachusetts Immigrant and Refugee Advocacy Coalition (2009) and the Latino Chamber of Commerce Agency Diversity Award (2013).

HCFA has played a pivotal role over the past 33 years in bringing together a wide range of stakeholders through coalition building in order to drive policy change. HCFA also works to improve awareness of affordable health coverage programs and educate consumers through its public education and consumer outreach work. HCFA attends community events, hosts enrollment sessions, distributes culturally- and linguistically-competent educational materials to individuals and families, runs media campaigns and maintains close relationships with community organizations. As a result of these efforts, HCFA has a strong presence in the communities it serves, particularly in low-income communities most at risk of being uninsured.

For more than 20 years, the HCFA HelpLine has been the only statewide multilingual phone service that helps Massachusetts residents at all income levels with enrolling into health insurance coverage, answering questions about insurance, and troubleshooting cases. HCFA’s expert HelpLine counselors provide guidance on all facets of public and private health insurance in Portuguese, Spanish, and English. HelpLine counselors take an average of 20,000 calls per year, half of which are from clients who speak a language other than English. With an ear to the ground, the HelpLine allows HCFA to work with the state, hospitals and insurers to address problems and trends that are identified and changes that need to be made. As a result, the HelpLine is also able to inform the health care system so that it works better for the individuals and families HCFA serves.


Impact Statement

Through its policy and coalition work, HCFA represents the consumer voice in Massachusetts health care policy. HCFA works with legislators and policymakers, and leads coalitions of advocates and stakeholders to promote policies that make health care in Massachusetts more affordable, accessible, consumer-centered, and higher quality. HCFA’s coalitions include: the Affordable Care Today!! Coalition, a driving force in the passage and implementation of Massachusetts’ 2006 landmark health reform law; the Oral Health Advocacy Taskforce, which works to make oral health services more accessible through Massachusetts; and the Children’s Health Access Coalition, a statewide voice for children’s health that led the way to expanding coverage to 99% of Massachusetts children by backing the state’s Children’s Health Insurance Program in 1996, which became the national CHIP program. HCFA and its sister organization Health Law Advocates are also leading members of the Immigrant Health Care Access Coalition, which is working to protect health access for immigrants.

HCFA is a leading member of the Children’s Mental Health Campaign (CMHC), a coalition of families, advocates, health care providers, educators, and consumers from across Massachusetts dedicated to comprehensive reform of the children’s mental health system. The goal of the Campaign is to lay a foundation for a comprehensive and coordinated system of mental health prevention, diagnosis and treatment that is accessible to all children, adolescents and families. Within CMHC, HCFA provides expertise on how health coverage in the Commonwealth works, and leverages existing relationships with key stakeholders to help advance behavioral health goals and the goals of the Campaign.


Needs Statement

Health Care For All seeks the philanthropic support of individuals, foundations and corporations who believe in its mission and are dedicated to promoting health justice in Massachusetts.

HCFA’s success as an advocacy organization is dependent on its community-based partnerships and coalitions. For this reason, HCFA seeks to build relationships with advocates, coalition members, and consumers who are dedicated to improving the state’s health care system. HCFA also relies on strong working relationships with industry groups including hospitals, insurers and other businesses that are important for when HCFA and industry are on opposing sides of an issue. There are many times when there are commonalities when working towards a goal or a resolution to a problem, and having the ability to respectfully disagree with these groups allows HCFA to maintain productive partnerships while meeting the needs of consumers.


CEO Statement

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Board Chair Statement

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Geographic Area Served

In a specific U.S. city, cities, state(s) and/or region.
STATEWIDE
HCFA serves consumers throughout Massachusetts, utilizing a multifaceted approach in which HCFA engages with consumers on the HelpLine, in person at enrollment events and through other face-to-face outreach activities. HCFA also collaborates with coalitions and organizational partners, many of whom have deep ties to specific and often marginalized communities to whom HCFA is able to offer tailored support.

Organization Categories

  1. Health Care - Alliances & Advocacy
  2. Civil Rights, Social Action, Advocacy -
  3. Public & Societal Benefit -

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

No

Programs

Coalition Work

HCFA leverages unique coalition models to engage the expertise and viewpoints of diverse partner organizations on behalf of consumers. HCFA's coalitions include the Affordable Care Today!! (ACT!!) coalition, which advocates for comprehensive implementation of health reform; the Children’s Health Access Coalition, a statewide voice for children’s health in Massachusetts; and the Children’s Mental Health Campaign (CMHC), working to reform the children’s mental health system. HCFA also leads the Protect Access to Confidential Health Care (PATCH) coalition, which advocates for protecting patient privacy in health plan communications with their members. Additionally, in January 2017 HCFA co-launched the Massachusetts Coalition for Coverage and Care (CCC), which brings together advocates, members of the business community, labor unions, insurers, hospitals, doctors, community health centers, faith groups and others to increase understanding and educate the public about the progress made under Chapter 58 and the Affordable Care Act (ACA), and the stakes of repealing the ACA without an adequate replacement, and identify actions to protect coverage and care.

HCFA is also the leading member of The Oral Health Advocacy Taskforce (OHAT) which was formed in 2002 in response to state budget cuts to the MassHealth dental program. OHAT is a broad-based coalition of consumers, advocates, health care professionals, academics and insurers committed to improving oral health for all persons in the Commonwealth through public policy advocacy. For the past several years, OHAT has worked towards restoring full adult dental benefits for all MassHealth members and providing full funding for the Department of Public Health’s Office of Oral Health. Additionally, OHAT’s most recent initiative, the Oral Health Integration Project (OHIP), is grounded in the belief that oral health has a critical role in improving overall health & wellbeing and is working to promote the integration of dental care into the rest of the health care system.

Budget  $500,000.00
Category  Health Care, General/Other Health Care Reform
Population Served Adults Children and Youth (0 - 19 years) At-Risk Populations
Program Short-Term Success 

A recent example of how HCFA’s coalition work results in policy changes that impact people across the commonwealth is the passage of An Act to Protect Access to Confidential Healthcare, also known as the PATCH Act. This new law protects the privacy of dependents on another person’s health insurance policy, such as a young adult, spouse, partner, or minor from the inadvertent sharing of sensitive health care information which would previously be sent along with an Explanation of Benefits form directly to the main subscriber. These notices meant that dependents were more likely to delay or forgo receiving necessary health services, particularly as they relate to pregnancy, sexually transmitted infections or when the primary health insurance subscriber may be a coercive or abusive party. Passed in March of 2018, this legislation establishes a number of mechanisms to ensure patient confidentiality including: sending insurance notices directly to the patient rather than to the primary policyholder; allowing patients to choose their preferred address and method for receiving notices; providing only general information about certain sensitive services or visits; and providing patients the option to opt-out of receiving notices if no payment is due.

This bill was the result of the work of The Protecting Access to Confidential Health Care (PATCH) Alliance, a broad-based group of over 40 provider, advocacy, and community-based organizations concerned with maintaining confidentiality in health insurer communications which is led in part by Health Care For All.

Program Long-Term Success 

HCFA’s role as a master convener has played a pivotal role over the past 33 years in bringing together a wide range of stakeholders through coalition building in order to drive policy change that went on to inform national policy advancements. HCFA’s ACT!! Coalition, which advocates for comprehensive implementation of health reform, was a driving force in the passage and implementation of Massachusetts’ 2006 landmark health reform law which led to close to 98% of residents having health coverage. The Children’s Health Access Coalition (CHAC), a statewide voice for children’s health, led the way to expanding coverage to 99% of Massachusetts children by championing the state’s Children’s Health Insurance Program in 1996, which in 1997 became the model for the national CHIP program.

Program Success Monitored By  HCFA-led coalitions are each organized with an Executive Committee as well as a coalition charter. As a result, progress is monitored in a collaborative way in partnership with coalition members and leaders. Coalitions meet and communicate regularly, allowing for constant assessment of progress and challenges which allows for the adjustment of strategy and opportunity for shared agenda setting. HCFA-led coalitions work together to take action through join sign-on letters, shared media strategy, hearing and testimony coordination as well as event planning.
Examples of Program Success 

In late June of 2017, the Governor sent to the legislature a package of MassHealth cutbacks and commercial market reforms to be included in the final state budget. HCFA, alongside its coalitions, opposed the cuts to MassHealth benefits and eligibility. HCFA and the coalitions including ACT!! and CHAC worked to educate the legislature through letters and in-person meetings about the harms of some of the proposed MassHealth changes, most notably policies that would bar people with access to affordable employer-sponsored insurance from MassHealth coverage and move 140,000 MassHealth members (including 100,000 parents) from MassHealth to Connector coverage.

HCFA testified alongside coalition colleagues and organized other advocates to testify at hearings in order to relay concerns to the Joint Committees on Ways and Means and Health Care Financing. In a big win for HCFA and its coalitions, the proposal was soundly defeated.

On the national front, The Coalition for Coverage and Care (CCC) has provided a valuable forum for understanding the impact of efforts to repeal the Affordable Care Act, including the ‘American Health Care Act’ (AHCA) on Massachusetts. As of early 2018, access to affordable, quality coverage for every Massachusetts resident has been protected. CCC, convened by HCFA and the Blue Cross Blue Shield of Massachusetts Foundation, has provided education and timely research during critical moments for the health care community. The ability to conduct and disseminate sophisticated data analysis related to proposed Medicaid cuts or ‘replacement’ proposals has garnered press coverage that humanizes the impacts. HCFA plays a key role in coalition meetings as well as steering committee meetings that provide direction to a growing group that is working to analyze ongoing threats and threats that are anticipated for the future.


Consumer Health HelpLine

The HCFA HelpLine is the only statewide multilingual phone service that helps Massachusetts residents at all income levels with enrolling into health insurance coverage, answering questions about insurance, and troubleshooting cases. The HelpLine is much more than a phone service; counselors form relationships with their clients and hear from them whenever they need help. With an ear to the ground, the HelpLine understands the challenges and the impacts that changes to the health care system mean for the individuals HCFA serves. The HelpLine also acts as a feedback loop so that systemic issues or trends heard on the HelpLine can be shared with stakeholders, decision makers and providers.
Budget  $800,000.00
Category  Health Care, General/Other Health Care Reform
Population Served Adults Children and Youth (0 - 19 years) At-Risk Populations
Program Short-Term Success  During a year of uncertainty and upheaval at the state and federal level, the HelpLine was still able to assist over 17,000 consumers with their questions or with their applications for coverage. Half of calls came from callers speaking a language other than English. HelpLine counselors directly enrolled over 1,800 individuals into coverage including over 500 children.
Program Long-Term Success  HCFA’s overarching goal mirrors its mission: promote health justice in Massachusetts by working to reduce disparities and ensure coverage and access for all. All of its work is directed to achieving that end. The HelpLine continues to serve as a trusted resource for tens of thousands of consumers throughout Massachusetts including immigrant communities, those living below the poverty line and individuals and families with limited English-speaking proficiency seeking assistance with health insurance enrollment and troubleshooting. HCFA meets the mission by talking directly to consumers, delivering tailored consumer assistance for over 20 years, and it will always remain the foundation of HCFA’s work.
Program Success Monitored By  HCFA utilizes a unique database to capture caller data and to monitor the monthly and yearly reach and impact of the HelpLine as well as trends that are highlighted by consumer calls and on ITL-MA. HCFA staff frequently review data, particularly during open enrollment periods, to ensure that goals are being met and calls and voicemails are being answered efficiently.
Examples of Program Success  The collaborative relationship between HCFA’s HelpLine and state agencies is vital to advocating for recommendations and process-changes that improve the health care enrollment experience for consumers, as well as address systematic issues that impede access. HCFA consults weekly, sometimes multiple times per week, with state staff which allows for system fixes of issues that impede access as well as the elevation of urgent issues. For example, HCFA recently received feedback from the statewide assister community that MassHealth had a lag in processing which impeded access for consumers – HCFA was able to immediately flag that information for the state. Similarly, HCFA alerted the state to the challenges of duplicate applications; as a result, a systems fix to the Health Insurance Exchange application system now prevents consumers from unintentionally creating duplicate accounts when they use different email addresses. This is an important change that prevents problems for consumers down the road when they are trying to access care. Another system update, rolled out after HCFA was able to share the experiences of the HelpLine and the assister community, provided functionality to allow applicants to report negative income. Previously, applicants could not report income as a loss and instead had to report a negative income as part of their projected yearly income. This fix allows consumers to receive a more accurate eligibility determination, which has important tax implications.

Education and Outreach

HCFA works to improve awareness of affordable health coverage programs and educate consumers through its public education and consumer outreach work. HCFA attends community events, hosts enrollment sessions, distributes culturally- and linguistically-competent educational materials to individuals and families, runs media campaigns and maintains close relationships with community organizations. As a result of these efforts, HCFA has a strong presence in the communities it serves, particularly in low-income communities most at risk of being uninsured.

In addition to the Helpline and in-person outreach, HCFA provides technical assistance to other enrollment assisters across the Commonwealth through In the Loop – Massachusetts (ITL-MA), an on-line learning community. ITL-MA serves as the only private meeting place for assisters from all parts of the state to connect with each other to share successes, challenges, questions and suggestions related to their experiences with health care enrollment. ITL-MA currently serves over 700 enrollment assisters from across the Commonwealth, providing HCFA with a window into real-time enrollment issues that are happening on the ground and the opportunity to help address them.

In response to the growing fear among immigrant communities that is preventing many from seeking vital health care services and applying for health benefits, HCFA and its sister organization Health Law Advocates has been dedicating additional resources to the Immigrant Healthcare Access Coalition (IHAC). IHAC, a coalition of over 60 health care and immigrant rights organizations, plays a crucial role in convening diverse partners, disseminating information and building momentum to promote immigrants’ access to care. IHAC members meet regularly to engage in collective education and advocacy about barriers to care and potential solutions for immigrant consumers. IHAC has worked on matters affecting immigrants’ health care including language access, eligibility restrictions in the Medicaid program, access to long-term health care services and supports, and immigrant integration within hospitals and medical clinics.

HCFA, HLA and other IHAC members are working on a dedicated Immigrant Health Access and Advocacy Project that aims to dispel fear and promote health care access. This project utilizes several strategies including organizing within immigrant communities through in-person outreach and through the HCFA HelpLine to empower individuals to directly educate residents in their neighborhoods about their health care rights. Another unique strategy is the creation of a comprehensive Immigrant Health Care Rights Toolkit. Utilizing proven messages that work, this web-based tool will help immigrant communities and their medical providers combat the disturbing trend of immigrants delaying and foregoing necessary care due to fear of law enforcement. The toolkit will be updated regularly and will include information on the relevant legal rights and protections surrounding immigrants’ access to care.

Budget  $250,000.00
Category  Health Care, General/Other Health Care Reform
Population Served Adults Children and Youth (0 - 19 years) At-Risk Populations
Program Short-Term Success  HCFA attended over 80 events throughout the Commonwealth in 2017 and distributed more than 12,000 pieces of educational collateral, with a particular focus on communities where high rates of uninsurance remain. Conducting outreach activities in hard to reach communities, particularly in Spanish and Portuguese, was even more critical this year as the climate at the federal level became toxic toward immigrants and the uncertainty around the Affordable Care Act (ACA) persisted. HCFA is a trusted resource and continues to utilize well-established relationships with groups statewide to share information about eligibility, health care coverage changes and enrollment assistance.
Program Long-Term Success  n/a
Program Success Monitored By  HCFA closely monitors the number of consumers interacted with at events, contacted through the HelpLine and the number of people who attend in-person enrollment events. HCFA uses these numbers to anticipate and analyze need and it also relies on this data as a measure of the success of marketing and promotion campaigns.
Examples of Program Success 

With the end of Open Enrollment approaching, HCFA decided to host an enrollment session in the city of Framingham on a Saturday to help those residents who still needed assistance applying for health insurance. HCFA coordinated an event alongside Rede ABR Radio Brasileira, the Joint Committee for ChildreSaven’s Health Care in Everett, and the Edward M. Kennedy Community Health Center to serve the community. HCFA raised money to promote the event through ethnic media outlets and was also the beneficiary of some earned media from other local outlets. HCFA has a proven track record of deploying effective ethnic media campaigns that are uniquely designed based on the target populations and the availability of resources. HCFA, based on years of experience, uses a variety of outreach strategies and communication avenues to engage hard to reach individuals.

While the enrollment session in Framingham was not scheduled to begin until 10 AM, the line was already snaking around the outside of the building at 7 AM. Some of the attendees came with questions that could be answered in 10 minutes, while other residents needed to fill out entire applications that can take up to an hour to complete. HCFA was able to serve most of the people standing in line on the same day, but recognizing that four hours would not suffice to meet the needs of all the community members who showed up, HCFA made sure to call the remaining residents on the list and screen them over-the-phone to see if they needed help applying for health insurance before the end of Open Enrollment under the Health Connector. Those who qualified for Connector coverage were asked to call the HelpLine before the deadline to fill out an application.

At the latest count, 782 people were served as a result of the Framingham enrollment session. That number continues to grow as more people call the HelpLine regarding coverage questions because they have heard about HCFA through the outreach campaign or word of mouth.


State Legislative and Regulatory Advocacy

Health Care For All advocates on behalf of consumers at all levels of state government in efforts to preserve coverage, maintain and promote affordability, integrate and improve access to oral health and other critical issues. HCFA has the policy expertise and experience with consumers needed to both understand complex policy changes and communicate them to a wider audience, including consumers, advocates, policymakers and the public at large. HCFA has a successful track record of breaking down complex ideas into more understandable language in policy, outreach, and direct service work. HCFA’s budget and legislative priorities regularly include preserving affordable ConnectorCare coverage, restoring MassHealth adult dental benefits, eliminating cost-sharing for cost-effective services, promoting prescription drug price transparency, and maintaining the Children’s Health Insurance Program.
Budget  $250,000.00
Category  Health Care, General/Other Health Care Reform
Population Served Adults Children and Youth (0 - 19 years) At-Risk Populations
Program Short-Term Success  The state legislature has begun work on a sweeping health care reform package that stands to increase attention to long neglected innovations. While the package will likely take a long time to get to the point of passage, HCFA has already been able to weigh in on some of its most critical issues that impact consumers. Before the Senate passed its comprehensive health care cost control bill in late 2017, HCFA participated in a forum held by the Senate committee charged with writing the bill and met repeatedly with the various leadership staff working on the bill. The Committee bill contained numerous provisions recommended by HCFA, including rejecting MassHealth eligibility and benefit cuts; authorizing dental therapists; promoting transparency for prescription drug pricing; requiring pharmacies to charge the lower of the copay or off-the-shelf price; promoting telemedicine; restricting surprise out-of-network billing; reinstating academic detailing; and reauthorizing the Prevention and Wellness Trust Fund. It also included other provisions HCFA has supported, such as reducing hospital readmissions, an examination of a Medicaid buy-in plan, and more.
Program Long-Term Success 

HCFA has been advocating on behalf of consumers for over 33 years and has had a substantial role in passing and implementing some of the most forward thinking health care reforms in the nation. Starting in the late 1980’s with Chapter 23, the Universal Health Care Law, HCFA led a two-year campaign to bring people without health insurance together with individuals with disabilities, seniors and parents of children with special health care needs to fight to make health care a right. With the enactment of the UHCL, Massachusetts became the first state in the nation to commit to universal coverage. While major provisions of the law were later repealed, HCFA did not stop fighting for everyone without quality health care. HCFA organized a broad-based campaign that led to the state’s 1996 reform law that resulted in health coverage for all children and expanded MassHealth for the first time to single adults. This law inspired Senator Kennedy, who later turned it into the blueprint for the national Children’s Health Insurance Program (CHIP) which now covers over 8 million children nationally.

The success of the 1996 expansion fueled HCFA’s aspirations to go further, and HCFA orchestrated a complex campaign that culminated in 2006 with the passage of a law, known as Chapter 58, that combined mandates, coverage expansions, subsidies and exchanges to make Massachusetts the leading state in the country for insurance coverage.

Massachusetts and HCFA pioneered health reform in the United State. With the passage of Chapter 58 in 2006, the result was a dramatic increase in health insurance coverage and financial security, improvements in overall health, increases in preventive care, and striking reductions in racial and ethnic coverage disparities. The gains were most significant for the lowest income individuals in the Commonwealth.

The 2006 Massachusetts law was then the direct model for the Affordable Care Act, the most consequential health reform law since the passage of Medicare and Medicaid over 50 years ago. Massachusetts has truly led the way in providing affordable health coverage to everyone. There is a direct line between 20 million people covered by the ACA and the original success of the 1988 campaign led by Health Care For All.

Program Success Monitored By  Health Care For All regularly reviews and reports on its work with the board of directors, with funders and through robust strategic planning evaluation and processes to ensure that strategies are successful that represent and protect consumers. HCFA is constantly evaluating whether its work at different levels of state government have been successful in preserving coverage, maintaining affordability, and improving access to oral and mental health and other critical issues.
Examples of Program Success 

The unique MassHealth Accountable Care Organization (ACO) project stands to serve as a model for other state’s delivery system reform efforts. Starting in early 2018, most (about 1.2 million) MassHealth members began experiencing huge changes in how they get their health care, as the state begins to restructure MassHealth and transition to ACOs, which are networks of doctors, hospitals, and other health care facilities that collectively manage care for a group of patients. Through the development of ACOs, MassHealth has the potential to create a more patient-centered system by better coordinating care, improving quality and enhancing health outcomes, as well as addressing some of the broader social determinants of health (SDOH) related to consumers’ social and physical environments. However, this model has big risks for consumers and unintended consequences are possible. Pressures to reduce costs could result in limited access to services and provider choice, ultimately impacting patient care.

Consumer safeguards such as appeals processes, grievance processes, and an independent consumer support program are promising, but it remains unclear how well safeguards will work to meet the needs of members. In large part due to HCFA’s advocacy efforts during the program creation phase of the MassHealth ACOs, ACOs are now mandated to engage consumers in plan governance and operations. These mandates include: a) having at least one consumer and/or consumer advocate to serve on the ACO Governing Board, and b) establishing ACO Patient and Family Advisory Committees (PFACs) with a direct feedback loop to the ACO’s Governing Board to influence policies and procedures. HCFA has a unique opportunity to transform the way consumers engage with the health care system by being on the ground floor as the ACOs begin. HCFA will continue to monitor ACO implementation, provide trends and feedback to state officials as well as provide thousands of consumers with decicion-making guidance and technical assistance through the HelpLine.


CEO/Executive Director/Board Comments

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Management


CEO/Executive Director Ms. Amy Rosenthal
CEO Term Start July 2017
CEO Email [email protected]
CEO Experience

Amy Rosenthal’s career has focused on public health, politics, and non-profit management. Prior to becoming the Executive Director of Health Care For All, Amy was the Director of External Affairs & Campaigns at Community Catalyst (CC), where she played a leadership role within Protect Our Care, a coalition of national organizations engaged in the current health care defense efforts; worked with the White House and Health and Human Services during the Obama Administration on the implementation of the Affordable Care Act (ACA); led CC's federal agenda and work with other national organizations, Congressional offices, and agency staffers; and co-led CC's campaign to pass the Affordable Health Care.

Amy has worked in both the Massachusetts State Senate and the Massachusetts State House of Representatives, served as the Policy Director on a gubernatorial campaign, and provided political consulting services for several clients in New England. She was the Executive Director of the Barbara Lee Family Foundation, which focuses on promoting women in politics, and served as Political Director for Barbara Lee, an activist and fundraiser for progressive women candidates.

Prior to entering politics, Amy spent seven years working for three large academic hospitals conducting public health work, with an emphasis on preventing gun deaths and injuries. She lobbied for safety legislation in four states; mobilized multi-disciplinary coalitions; and designed, implemented, and evaluated community outreach programs.

Amy has a Master in Public Health degree from Harvard University, a Master in Public Affairs degree with a concentration in Non-Profit Management from Indiana University, and a Bachelor of Science degree in Organizational Studies from Northwestern University.

Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
Steve Rosenfeld -- --
Robert Restuccia -- --

Senior Staff

Name Title Experience/Biography
Suzanne Curry Associate Director of Policy and Government Relations Suzanne Curry is currently an Associate Director of Policy and Government Relations at HCFA. She leads HCFA's public health insurance, health reform, and children's health policy and advocacy work. Suzanne manages multiple coalitions, including the Affordable Care Today (ACT!!) Coalition and the Children's Health Access Coalition (CHAC). Prior to joining Health Care For All, Suzanne held various positions, including an organizer for the Services Employees International Union (SEIU) Local 888. She has a B.A. in Sociology and Political Science from Boston University.
Hannah Frigand Associate Director Helpline, Enrollment and Education Hannah Frigand manages the day-to-day operations of the HelpLine. After starting out in art school, Hannah became interested in public policy after taking an introduction to government course. She decided to put down her paint brush and to focus her studies on public policy. Hannah started working at Health Care For All as an intern in 2006 while still in school. Upon graduating from Suffolk University, she joined the Health Care For All team as a HelpLine counselor.
Maria Gonzalez Albuixech Director of Strategy and Communications María R. González Albuixech is HCFA's Strategy and Communications Director. She also supervises outreach activities, community organizing and the HelpLine. A native of Spain, María earned a dual degree in Communications and German studies at the University of Valencia, Spain and Bremen University, Germany. She studied journalism at Carlos III University and worked as the editor of several specialized publications in the Madrid region. She also earned a master's degree in Political Science and International Relations at Suffolk University in Boston. She worked as an associate editor for “El Mundo” newspaper and as a reporter for Noticias Univision Nueva Inglaterra, where, in addition, she served as a news anchor and producer. Later, she was employed as the community education manager at the Massachusetts Department of Public Health.
Brian Rosman Director of Government Relations and Policy Brian Rosman is HCFA's Director of Policy and Government Relations. His work focuses on policy research and analysis related to Massachusetts and national health reform, public health coverage programs, health payment methods, private insurance concerns and other policy issues. Brian also teaches health policy to Masters of Public Policy students at Brandeis University and to advanced degree nursing students at Regis College, and he lectures at UMass Medical School, Tufts School of Public Health, BU School of Law and Harvard Medical School. Before joining HCFA in 2003, Brian was a senior policy associate at the Schneider Institute for Health Policy at Brandeis University's Heller School. He also served as research director and general counsel for the House staff of the Joint Committee on Health Care of the Massachusetts legislature and as counsel to the Massachusetts Senate Committee on Ways & Means. Brian has a law degree from the University of Pennsylvania and a degree in Political Science from Stanford University.
Sally Strniste Chief of Staff Sally Strniste serves as a member of the Senior Management team and is a liaison to the Executive Director of Health Care For All. Sally provides strategic support to the staff and board as well as to the campaigns, programs and development activities of the organization. Sally began her career as a community organizer and campaign manager in Lowell, Cape Cod, South Boston and parts of Dorchester. Sally graduated Magna Cum Laude from UMASS Boston with a B.A. in Political Science and Public Policy and is currently pursuing her law degree at night from Suffolk University Law School.
Alyssa Vangeli Associate Director of Policy and Government Relations Alyssa’s work focuses on policy and advocacy related to private insurance, payment and delivery system reform, and prescription drug reform. Prior to HCFA, Alyssa worked as a Legal Fellow at Health Law Advocates, where she represented low-income clients experiencing difficulty accessing health care. She earned a joint degree in law from Northeastern University School of Law and a Masters in Public Health from Tufts School of Medicine, completing legal internships at Greater Boston Legal Services Health Care Unit, Mental Health Legal Advisors Committee, Physicians For Human Rights and the Massachusetts Federal District Court. Prior to law school she worked for a number of years in the fields of reproductive health advocacy at Pathfinder International and immigrant health advocacy at Health Care For All.

Awards

Award Awarding Organization Year
Agency Diversity Award Latino Chamber of Commerce 2013
Recognition Award Massachusetts Immigrant and Refugee Advocacy Coalition 2009
Out of the Blue Award The Boston Foundation 2005

Affiliations

Affiliation Year
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Member of state association of nonprofits? No
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
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Collaborations

HCFA regularly convenes the Medicaid Advocate’s Meeting that includes the MA Health Connector and MassHealth. HCFA reports barriers and trends observed on the HelpLine and is regularly asked to review the Connector's enrollee communications for linguistic and cultural competency.

HCFA's HelpLine counselors work with the Connector to expedite applications from individuals with urgent medical needs. The HelpLine's success has led to partnerships with the Executive Office of Health and Human Services, which designated HCFA as its referral partner for MassHealth enrollment assistance, and the Disability Policy Consortium, which contracts with HCFA to serve as point of contact for the OneCare Program for disabled individuals dually eligible for Medicare and Medicaid.

HCFA's coalitions have multiple members that help us establish policy priorities and train consumers recruited through the HelpLine and outreach efforts to advocate for themselves and their communities in health reform debates. (Full lists of coalition partners available upon request.)

HCFA maintains strong relationships with the Executive Office of Health and Human Services, the Departments of Public Health and Mental Health, as well as the Division of Insurance. We also work with the Health Policy Commission (HPC), the Center of Health Information and Analysis (CHIA) and the Office of Patient Protection (OPP) to provide recommendations and testimony. HCFA also holds a seat on the HPC's Advisory Council.

CEO/Executive Director/Board Comments

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Foundation Comments

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Staff Information

Number of Full Time Staff 15
Number of Part Time Staff 3
Number of Volunteers 20
Number of Contract Staff 1
Staff Retention Rate % 70%

Staff Demographics

Ethnicity African American/Black: 2
Asian American/Pacific Islander: 1
Caucasian: 9
Hispanic/Latino: 6
Native American/American Indian: 0
Other: 0
Other (if specified): 0
Gender Female: 15
Male: 3
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Under Development
Years Strategic Plan Considers 3
Management Succession Plan No
Business Continuity of Operations Plan No
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy No
Document Destruction Policy No
Directors and Officers Insurance Policy Yes
State Charitable Solicitations Permit Yes
State Registration Yes

Risk Management Provisions

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Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair Ms. Marcia Hams
Board Chair Company Affiliation Retired, Community Catalyst
Board Chair Term July 2016 - June 2019
Board Co-Chair Wendy Parmet
Board Co-Chair Company Affiliation Northeastern University School of Law
Board Co-Chair Term July 2008 - June 2020

Board Members

Name Company Affiliations Status
Lori Abrams Berry Chief Executive Officer, Lynn Community Health Center Voting
Mary Connelly Esq. Massachusetts Rehabilitation Commission Voting
Jacqueline Coogan Joint Committee for Children's Health Care in Everett Voting
Wanda Cordova Chief Financial Officer, Forsyth Institute Voting
Alba N. Cruz-Davis Joint Committee for Children's Health Care in Everett Voting
Joseph Feaster Jr., Esq. Counsel, McKenzie & Advocates, P.C. Voting
Steve Gorrie Professional Parliamentarian, Past President of the Massachusetts Teachers Association Voting
Marcia Hams Retired Voting
Ann Hwang M.D. Community Catalyst --
Wendy Parmet Northeastern University School of Law Voting
Steve Rosenfeld Former Interim Executive Director, Health Care For All/Founder of Health Law Advocates/Retired Partner at Rosenfeld Rafik & Sullivan Voting
Kate Segel Member Services Director, MA Health Connector Voting
Kim Shellenberger Senior Director, Commonwealth Care Alliance Voting
Lisa Stephani Esq. Attorney, Private Practice Voting
Kate Villers President, Community Catalyst, Inc. Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
Robert Restuccia Executive Director of Community Catalyst NonVoting

Board Demographics

Ethnicity African American/Black: 1
Asian American/Pacific Islander: 1
Caucasian: 11
Hispanic/Latino: 2
Native American/American Indian: 0
Other: 0
Other (if specified): 0
Gender Female: 12
Male: 3
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 6
Board Meeting Attendance % 93%
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 93%
Percentage of In-Kind Contributions 7%
Constituency Includes Client Representation No

Standing Committees

  • Board Governance
  • Executive
  • Finance

CEO/Executive Director/Board Comments

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Foundation Comments

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Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2017 (%)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2017 2016 2015
Total Revenue $2,436,492 $1,937,854 $5,290,683
Total Expenses $2,088,519 $3,024,302 $4,415,544

Prior Three Years Revenue Sources

Fiscal Year 2017 2016 2015
Foundation and
Corporation Contributions
-- -- --
Government Contributions $0 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified -- $0 --
Individual Contributions $1,925,052 $857,196 $1,502,676
Indirect Public Support -- $0 --
Earned Revenue $66,902 $947,142 $3,464,244
Investment Income, Net of Losses $595 $1,193 $1,839
Membership Dues -- $0 --
Special Events $443,943 $132,323 $321,924
Revenue In-Kind -- -- --
Other -- $0 --

Prior Three Years Expense Allocations

Fiscal Year 2017 2016 2015
Program Expense $1,574,748 $2,540,913 $3,890,053
Administration Expense $389,755 $134,301 $103,838
Fundraising Expense $124,016 $349,088 $421,653
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.17 0.64 1.20
Program Expense/Total Expenses 75% 84% 88%
Fundraising Expense/Contributed Revenue 5% 35% 23%

Prior Three Years Assets and Liabilities

Fiscal Year 2017 2016 2015
Total Assets $1,109,189 $911,892 $1,944,955
Current Assets $949,527 $725,688 $1,721,670
Long-Term Liabilities $0 $0 $0
Current Liabilities $197,668 $343,486 $290,101
Total Net Assets $911,521 $568,406 $1,654,854

Prior Three Years Top Three Funding Sources

Fiscal Year 2017 2016 2015
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy N/A
Percentage(If selected) --
Credit Line Yes
Reserve Fund Yes
How many months does reserve cover? 3.00

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? --

Short Term Solvency

Fiscal Year 2017 2016 2015
Current Ratio: Current Assets/Current Liabilities 4.80 2.11 5.93

Long Term Solvency

Fiscal Year 2017 2016 2015
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

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Foundation Comments

Financial summary data in charts and graphs are per the organization's IRS 990s. Contributions from Foundations & Corporations are listed under Individuals when the breakout was not available.

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

Goal 1: Drive change to make the MA health care system work for all consumers, especially the most vulnerable.

While this goal includes many aspects of work that have historically been underway, HCFA has had to dedicate more time and resources to it in an environment where federal changes imperil progress and make any unfinished work more challenging. HCFA recognizes that true health equity in MA remains an unmet goal. For the system to work for all consumers, it must have equitable access to affordable health care that recognizes their needs and the barriers that language, poverty and under-resourced communities can present.

Goal 2: build power by bringing diverse people and communities directly into the MA health care policy debate.

Racial and socioeconomic disparities continue to exist and these disparities are particularly prevalent within health care access. This presents an opportunity for HCFA to expand and emphasize its work on these issues. While HCFA successfully engages community organizations and coalition partners in its policy work, it recently has not engaged individual consumers as robustly. A stronger focus on grassroots organizing and civic involvement would allow HCFA to better amplify the voice of consumers and bring their individual stories to the tables where policies are created. HCFA’s HelpLine is a unique resource in that HCFA staff can both assist consumers and help them see the bigger picture, offering individuals an opportunity to engage in system change.

Goal 3: enhance HCFA’s visibility through the strategic use of resources, relationships, and opportunities.

HCFA would have more influence and access at the legislative and regulatory levels if it was more visible and vocal. Meeting this goal requires increasing, and effectively deploying, resources for organizing and advocacy, as well as internally adjusting priorities as needed.

HCFA will focus on four objectives as part of this goal: 1) Use technology more effectively to educate and involve consumers; 2) improve the messaging and marketing of its work; 3) influence key public sector health care discussions and decision-making forums; 4) develop and deepen new and existing funder relationships.


2. What are your strategies for making this happen?

Goal 1: Drive change to make the MA health care system work for all consumers, especially the most vulnerable.

In order to make progress on this front, HCFA will continue its leadership in improving public and private medical, oral and behavioral health care coverage and access. It will do so by building and maintaining diverse coalitions to inform its policy work and meet the needs of racial and ethnic minorities, immigrants, people with disabilities, and women.

Goal 2: build power by bringing diverse people and communities directly into the MA health care policy debate.

To meet this goal, HCFA has three objectives for the next three years: 1) Strengthen capacity on the HelpLine to serve more consumers and empower them to advocate for themselves; 2) build an over-arching health justice campaign in partnership with other community and grassroots organizations; 3) amplify the voice and build the power of consumers to change the system through outreach, organizing, and deep partnerships with other community organizations.

Goal 3: enhance HCFA’s visibility through the strategic use of resources, relationships, and opportunities.

HCFA will focus on four objectives as part of this goal: 1) Use technology more effectively to educate and involve consumers; 2) improve the messaging and marketing of its work; 3) influence key public sector health care discussions and decision-making forums; 4) develop and deepen new and existing funder relationships.


3. What are your organization’s capabilities for doing this?

As conveners, educators and policy experts, HCFA is looked to for its institutional reputation and strategic relationships that effectively influence policy. HCFA maintains a talented, knowledgeable, multi-lingual, multi-cultural staff that have strong relationships and connections to stakeholders, legislators and community groups. HCFA also has a long history of in-depth policy work and policy expertise that allows it to capitalize on the unique health care landscape that Massachusetts is known for. HCFA also has strong name recognition combined with a rich history of pragmatic and progressive policy wins that give it credence and context within a rapidly changing environment.

4. How will your organization know if you are making progress?

HCFA is in the final stages of a robust strategic planning process. Before the next fiscal year begins, departmental work plans will be developed that include robust tracking and goal setting. HCFA will monitor its progress, particularly in relationship to the aforementioned strategic goals, at least on a quarterly basis. This re-envisioned evaluation process will help HCFA to monitor its progress and strategies as they relate to the work and the organizational goals.

5. What have and haven’t you accomplished so far?

Despite HCFA's remarkable success, the recent fight to defend health care has revealed that in order to protect health care access and coverage over the next three years and beyond, and in order to tackle the deeply embedded persistent problems in our health care system, HCFA will need a sustained health justice movement that goes beyond mobilizing individuals to truly organizing groups that can act collectively over an extended period of time. HCFA still needs to develop a proactive vision for health care in Massachusetts that can serve as the foundation for organizing. This vision statement will need to be developed around an aspirational goal that will unite and excite people across the state. HCFA will need to engage in dialogue with multiple constituencies about their health concerns, with a particular emphasis in hearing directly from vulnerable individuals with diverse backgrounds. There is an opportunity, and a challenge, to engage HelpLine callers if it is done over an extended period of time and meets the caller where he/she is. This means that communication from HCFA around organizing needs to be customized to this population, teaching them about the importance of advocacy, the value of their personal story, and the power of their voice. In order to sustain this work overtime and as part of its current strategic planning process, HCFA is seriously considering re-instituting a membership structure. A number of years ago, individuals became members of HCFA, but for a variety of reasons including capacity issues, it petered out over time. Reinstituting this structure will help HCFA financially sustain its organizing work and build its lists over time.