The purpose of this study was to identify gaps in outreach and enrollment patterns in Metro Louisville, to examine the impact that outreach has made during ACA implementation in Metro Louisville, and to understand the evolution of outreach strategies and the role of outreach and enrollment personnel in Metro Louisville. Additionally, this study examined the demographics and perspectives of individuals who remain uninsured in the Metro Louisville area to inform ongoing outreach and community education strategies.

This was an exploratory study that sought to understand enrollment patterns to identify gaps in the Metro Louisville community and to inform state- and local-level policies and strategies regarding continued outreach and education efforts. This study necessitated three distinct inquiries—one focused on enrollment activities, another examining actual enrollment statistics across groups, and a third to determine characteristics and perspectives of individuals without coverage.