Evaluation of Consumer Voices for Coverage Program

Evaluation conducted October 2007 through March 2011

The Program Being Evaluated

Consumer Voices for Coverage: Strengthening State Advocacy Networks to Expand Health Coverage (CVC) is an initiative designed and funded by the Robert Wood Johnson Foundation (RWJF) to establish state-based consumer health advocacy networks, elevate the voice of the consumer in debates on state health care reform, and achieve policy outcomes that expand health care coverage, with a goal of reaching comprehensive coverage in these states: California, Colorado, Illinois, Maine, Maryland, Minnesota, New York, New Jersey, Ohio, Oregon, Pennsylvania and Washington.


Final Program Evaluations

Building Advocacy Capacity: Where Grantees Started

This report describes the level of core advocacy capacity among the leadership teams at the beginning of the Consumer Voices for Coverage (CVC) program, a 12-state initiative funded by the Robert Wood Johnson Foundation.

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Building State-Level Advocacy Networks: CVC After Two Years

This report describes the progress made by Consumer Voices for Coverage participants during the first two years of the initiative.

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Defining, Building, and Measuring Capacity

The evaluation by Mathematica Policy Research found that funding capacity building increased five of the six core advocacy components measured.

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Leadership Team Member Organizations and Coalition Structures

To establish alliances that could advance the goals of the Consumer Voices for Coverage (CVC) initiative and outlive it, RWJF required applicants to form a leadership team of partner organizations to mobilize the consumer advocacy network within their states. Mathematica, Inc. designed a survey to collect data about the structure and activities of the leadership teams.

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State Policy-makers’ Views on the Role of Consumer Advocates in Health Policy Discussions

Mathematica interviewed key policy-makers in the 12 Consumer Voices for Coverage states in mid-2010 to assess changes in the involvement, influence, and effectiveness of consumer advocacy groups in shaping state health coverage policy over the period of the program (2008 to 2010).

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About the Evaluations

Major Evaluative Topics and Questions

The evaluation, led by Judith Woodridge of Mathematica Policy Research, Inc. (MPR), addresses two overarching questions:

  1. How effective were RWJF funds in increasing the capacity of advocacy groups at the state level?
  2. To what extent did consumer advocacy influence the policy process to promote health insurance coverage?

Summary of Methods

To address these questions, MPR proposed a flexible, participatory approach using mixed methods and a variety of data sources. Data collected from the 12 sites will undergo both cross-site and chronological analyses to determine program effectiveness and advocacy types associated with changes in public policy.