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Health care outreach in laundromats: A creative approach

February 18, 2025
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132 years in the past we have been protecting Publish-Reconstruction when a former enslaved veteran began the AFRO with $200 from his land-owning spouse. In 2022 we endorsed Maryland’s first Black Governor, Wes Moore. And now we have fun the primary Black Senator from Maryland, Angela Alsobrooks!

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By KFF Well being Information

At a SuperSuds Laundromat simply south of Washington, D.C., a gradual stream of shoppers loaded garments into washers and dryers on a latest Sunday morning, passing the time on their telephones or watching tv.

Amid the low hum of spinning garments, Adrienne Jones made the rounds in a vivid yellow sweatshirt, asking clients about their well being wants. “Do you’ve well being protection?” Jones, an outreach supervisor for Cloth Well being, requested Brendan Glover, 25, who was doing laundry along with his toddler in tow.

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Glover works in legislation enforcement, however he misplaced his protection in 2024 when a job ended. “I’m younger, so I don’t give it some thought, however I do know I’ll want it,” he stated.

Jones collected his contact data, gave him a present card for a future laundromat go to, and promised to assist him discover reasonably priced protection.

Brendan Glover (proper) chats with Cloth Well being employee Adrienne Jones who says the corporate would assist him discover protection.(Photograph courtesy of Phil Galewitz/KFF Well being Information)

State Medicaid and Inexpensive Care Act protection applications have lengthy struggled to attach with lower-income People to assist them entry well being care. They ship letters and emails, place telephone calls, and publish on social media platforms corresponding to Fb and X.

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A few of these state applications are attempting another strategy: assembly folks on the laundromat — the place they often go and often have time to speak.

Cloth Well being, a Washington, D.C.-based startup, sends outreach staff into laundromats in Maryland, Pennsylvania, New Jersey and — as of January — the District of Columbia, to assist folks get and use well being protection, together with by serving to schedule checkups or maternity care. The employees, a lot of whom are bilingual, go to the laundromats additionally to ascertain relationships, construct belief and join folks with authorities help.

Medicaid well being plans, together with these run by CareFirst BlueCross BlueShield in Maryland, UPMC in Pittsburgh, and Jefferson Well being in Philadelphia pay Cloth Well being to attach with their enrollees. The corporate was paid by the Maryland Managed Care Group Affiliation, the state’s Medicaid well being plan commerce group, to assist folks recertify their Medicaid eligibility after covid pandemic-era protection protections expired.

Since 2023, the corporate has related with greater than 20,000 folks in Maryland and Pennsylvania alone, accumulating contact data and information on their well being and social wants, stated Allister Chang, a co-founder and the chief working officer. Chang additionally serves on the D.C. State Board of Training as Ward 2’s elected consultant.

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The SuperSuds Laundromat in Suitland, Md, is one among a number of laundromats within the Washington, D.C., space the place Cloth Well being staff assist folks, significantly these enrolled in Medicaid, with their medical health insurance wants. (Photograph courtesy of Phil Galewitz/KFF Well being Information)

Cloth Well being wouldn’t disclose its charges to KFF Well being Information. The corporate is structured as a public profit company, that means it’s a for-profit enterprise created to supply a social profit and isn’t required to prioritize in search of income for shareholders.

Pennie, Pennsylvania’s ACA market, which opened in 2020, pays Cloth Well being to speak to folks within the Philadelphia and Pittsburgh areas about protection choices and enroll them.

A survey final 12 months discovered that two-thirds of uninsured folks within the state have by no means heard of Pennie, stated Devon Trolley, Pennie’s govt director.

“Cloth’s strategy may be very novel and artistic,” she stated. “They go to the place individuals are sitting with time on their fingers and develop grassroots relationships and get the phrase out about Pennie.”

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For enrollees, the laundromat chats could be simpler and faster than connecting with their well being plans’ customer support. For the well being plans, they’ll enhance state efficiency funds, that are tied to enrollee satisfaction and effectiveness at getting them companies corresponding to most cancers screenings.

“Our pitch is: Folks spend two hours per week ready round in laundromats, and that idle time could be extremely productive,” stated Courtney Bragg, a co-founder and the CEO of Cloth Well being.

CareFirst started working with the corporate final 12 months to assist folks in Maryland renew protection, schedule checkups and join different advantages, together with vitality help and meals stamps.

Adrienne Jones (left), an outreach supervisor for Cloth Well being, talks to Patti Hayes, a Medicaid enrollee. (Photograph courtesy of Phil Galewitz/KFF Well being Information)

Sheila Yahyazadeh, chief exterior operations officer for the CareFirst plan, stated the initiative reveals the significance of human interplay. “There’s a false impression that know-how will resolve all, however a human face is totally elementary to make this program profitable as a result of, on the finish of the day, folks need to discuss to somebody and really feel seen and cared for,” she stated.

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On a earlier go to to SuperSuds, Jones, the Cloth Well being outreach employee, met Patti Hayes, 59, of Hyattsville, Maryland, who’s enrolled within the Medicaid well being plan operated by CareFirst however had not seen a main care doctor in over a 12 months. She stated she most well-liked to see a Black doctor.

After they met on the laundromat, Jones helped her discover a new physician and schedule an appointment. She additionally helped her discover a therapist in her plan’s community.

“That is useful as a result of it’s extra of a private contact,” Hayes stated.

Cloth Well being additionally texts folks to remain in contact and inform them when the outreach staff will probably be again at their laundromat to allow them to meet once more in individual.

Paola Flores, 38, of Clinton, Maryland, advised a Cloth Well being employee she wanted assist switching Medicaid plans so she might get higher take care of her autistic youngster. 

Speaking together with her in Spanish, the employee stated she would assist her, together with by making an appointment with a pediatrician.

“Good assist is tough to search out,” Flores stated.

Ryan Moran, Maryland’s Medicaid director, stated Cloth Well being helped preserve folks enrolled through the Medicaid “unwinding,” when everybody on this system needed to get renewed after the expiration of pandemic-era protection protections that lasted three years.

Outreach staff there centered on laundromats in cities that had excessive charges of individuals being disenrolled for paperwork causes.

“There is no such thing as a query concerning the worth of human-to-human interplay and the power to be on the bottom the place individuals are, that removes limitations and will get folks to interact with us,” Moran stated.

KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points and is without doubt one of the core working applications at KFF—an unbiased supply of well being coverage analysis, polling and journalism. This text was initially printed by KFF Well being Information and Phrase in Black.

Learn what we are going to cowl subsequent!

132 years in the past we have been protecting Publish-Reconstruction when a former enslaved veteran began the AFRO with $200 from his land-owning spouse. In 2022 we endorsed Maryland’s first Black Governor, Wes Moore. And now we have fun the primary Black Senator from Maryland, Angela Alsobrooks!



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Tags: ApproachCareCreativeHealthlaundromatsoutreach
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