Wash, Dry, Enroll: Finding Medicaid Help at the Laundromat

SUITLAND, Md. — At a SuperSuds Laundromat simply south of Washington, D.C., a gentle stream of shoppers loaded garments into washers and dryers on a current 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 brilliant yellow sweatshirt, asking prospects about their well being wants. “Do you will have well being protection?” Jones, an outreach supervisor for Cloth Well being, requested Brendan Glover, 25, who was doing laundry together with his toddler in tow.

Glover works in regulation 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 inexpensive protection.

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 cellphone calls, and submit on social media platforms akin to Fb and X.

A few of these state applications are attempting an alternate strategy: assembly individuals on the laundromat — the place they frequently go and often have time to talk.

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 individuals get and use well being protection, together with by serving to schedule checkups or maternity care. The employees, lots of whom are bilingual, go to the laundromats additionally to ascertain relationships, construct belief, and join individuals 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 individuals recertify their Medicaid eligibility after covid pandemic-era protection protections expired.

Since 2023, the corporate has linked with greater than 20,000 individuals in Maryland and Pennsylvania alone, amassing 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 Schooling as Ward 2’s elected consultant.

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 offer a social profit and isn’t required to prioritize looking for earnings for shareholders.

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

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

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

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 improve state efficiency funds, that are tied to enrollee satisfaction and effectiveness at getting them providers akin to most cancers screenings.

“Our pitch is: Individuals 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 individuals in Maryland renew protection, schedule checkups, and join different advantages together with vitality help and meals stamps.

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 remedy all, however a human face is completely basic to make this program profitable as a result of on the finish of the day individuals need to discuss to somebody and really feel seen and cared for,” she stated.

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 major 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 individuals 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 may 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 seek out,” Flores stated.

Ryan Moran, Maryland’s Medicaid director, stated Cloth Well being helped maintain individuals 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 targeted 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 flexibility to be on the bottom the place persons are, that removes boundaries and will get individuals to have interaction with us,” Moran stated.