The BadgerCare Plus Evaluation TeamPrepared for AcademyHealth, 6/2011
   Am I Eligible?    Anyone can submit minimal information on their household    and receive feedback on whether they mig...
   ACCESS   Mail-in   Walk-in   Phone
   What % of applications are received through ACCESS?     Are there differences in the socio-economic status of those t...
   State contractor Deloitte selected a sample of those who    applied for Health Insurance from January 2008 to October ...
   Percent of Applications by Method                       4%                 17%                                    ACCE...
   Percent Determined Eligible for BC+ by    Method                                      100%                            ...
   SES by Method                    Application Method by Income    100%                               85%     80%       ...
   Application Spillover by Method      80%                                 72% 72%      70%                    60%    63...
   Eligible Spillover by Method      90%                                                        82%                      ...
   Wisconsin awarded federal Early Innovator grant to be    used to expand ACCESS platform for planned private    health ...
   Data, graphs, and some written sections taken from two issue briefs: “The    Target Efficiency of Online Medicaid/CHIP...
Arm2011 oliver(leininger) 6.14.11
Arm2011 oliver(leininger) 6.14.11
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Arm2011 oliver(leininger) 6.14.11

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Arm2011 oliver(leininger) 6.14.11

  1. 1. The BadgerCare Plus Evaluation TeamPrepared for AcademyHealth, 6/2011
  2. 2.  Am I Eligible? Anyone can submit minimal information on their household and receive feedback on whether they might be eligible for health care, nutrition or child care supplements, prescription drug assistance, energy assistance or tax credits. Apply for Benefits Submit application for BadgerCare Plus, Medicaid, FoodShare, child care and/or the Family Planning Waiver online. However, other steps must be taken for the process to be completed.
  3. 3.  ACCESS Mail-in Walk-in Phone
  4. 4.  What % of applications are received through ACCESS?  Are there differences in the socio-economic status of those that use ACCESS versus other methods of application? Target Efficiency of ACCESS: Is ACCESS more or less likely than other methods to attract applicants who are ultimately determined to be eligible for public insurance? Application and Eligibility Spillover: Does ACCESS promote greater likelihood of applying to other social programs? What are the rates of eligibility determination among “spillover” applications generated by ACCESS relative to other methods?
  5. 5.  State contractor Deloitte selected a sample of those who applied for Health Insurance from January 2008 to October 2010 through all methods. UW-PHI limited the sample to BC+ Child and Caretaker applications through November 2009 so we could match to the CARES demographic data we had at the time. CARES is the state’s eligibility system for BadgerCare Plus. We selected the oldest person listed in the case for individual demographic categories, typically a parent.
  6. 6.  Percent of Applications by Method 4% 17% ACCESS Walk-in 18% 62% Mail-in Phone
  7. 7.  Percent Determined Eligible for BC+ by Method 100% 87% 83% 90% % determined eligible for BC+ 77% 80% 69% 70% 60% 50% 40% 30% 20% 10% 0% Phone Walk-in Mail-in ACCESS Application method
  8. 8.  SES by Method Application Method by Income 100% 85% 80% ACCESS 56% 60% Walk-in 40% Mail-in 22% 18% 20% 4% 5% 8% Phone 2% 0% < 150% FPL >= 150% FPL Note: similar pattern emerges when the sample is stratified by other potential markers of vulnerability (primary language, citizenship status, rural status, gender)
  9. 9.  Application Spillover by Method 80% 72% 72% 70% 60% 63% 60% 53% 51% 46% 50% 41% 38% 40% Jan08-Jun08 30% Jul08-Dec08 16% 20% Jan09-Nov09 6% 10% 4% 0% ACCESS Walk-in Mail-in Phone Application spillover = % of BC+ applicants also applying for FoodShare
  10. 10.  Eligible Spillover by Method 90% 82% 74% 72% 75% 78% 80% 72% 72% 63% 70% 60% 60% 50%52% 50% 42% 40% Jan08-Jun08 30% Jul08-Dec08 20% Jan09-Nov09 10% 0% ACCESS Walk-in Mail-in Phone Eligible spillover = % of BC+ applicants applying for FoodShare (FS) who are determined eligible for FS
  11. 11.  Wisconsin awarded federal Early Innovator grant to be used to expand ACCESS platform for planned private health insurance exchanges Governor’s proposed biennial budget eliminates county- based walk-in services, instead relying almost exclusively on ACCESS  Has generated considerable concern among advocate groups Currently, ACCESS requires all submitted applications to be reviewed by a caseworker to verify and review information submitted. Cost/benefit analysis?
  12. 12.  Data, graphs, and some written sections taken from two issue briefs: “The Target Efficiency of Online Medicaid/CHIP Enrollment: An Evaluation of Wisconsin’s ACCESS Internet Portal”- Leininger, Friedsam, Voskuil, DeLeire. Published by the Robert Wood Johnson Foundation & “Online Application for Medicaid and BadgerCare: How Efficient Relative to Other Application Venues?”Thanks to the Robert Wood Johnson Foundation and the Wisconsin Department of Health Services for the support.

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