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Wisconsin’s BadgerCare Plus Coverage Expansion:  Early Evaluation Results APPAM 2009 Lindsey Leininger State of WI Collaborators:  Milda Aksamitauskas, Linda McCart Principal Investigators: Tom DeLeire, Thomas R.Oliver Project Director: Donna Friedsam
Wisconsin’s BadgerCare Plus (BC+) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Crowd-Out Provisions Altered ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Creative Use of Systems ,[object Object],[object Object],[object Object]
“ All Kids” Marketing
Outreach ,[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quantitative Data Sources ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key Income Cutoffs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Study Populations ,[object Object],[object Object],[object Object],[object Object]
Enrollment: Children
Child Enrollment by FPL
Enrollments Relative to Population Estimates: Children   Child All <150 150-200 200-300 300+ Urban Rural Dec-07 24% 84% 19% 0.3% 0.0% 21% 36% May-09 29% 94% 37% 5% 0.4% 25% 42% Change 5% 10% 18% 4% 0.4% 5% 6%
Change in Initial Enrollment per Uninsured Population: Children
Enrollment: Parents
Parent Enrollment by FPL Dec-07 May-09 Change % of change All 176,686 237,779 61,093 100% <150 166,051 210,213 44,162 72% 150-200 10,113 23,435 13,322 22% 200+ 390 4,131 3,741 6%
Change in Enrollment per Uninsured Population: Parents
Enrollments Relative to Population Estimates: Parents
Exit Rates
Churning: 6 Months Churning = % of enrollees in a given month who exit and re-enter the program within a 6 month window
Who Are the Auto-Converts? All Kids Parents Auto-enrolled in Feb. 2008 41,148  17,132  24,016  Of these, what % had a family member enrolled in Jan 08? Any family member 92% 87% 95% Parent/Spouse 26% 41% 15% Sibling/Child 80% 61% 94% Previously Enrolled (2007) 62% 71% 56%
Auto-Converts vs. Other New Enrollees
Summary of Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary, Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implications for Reformers ,[object Object],[object Object]
Next Steps ,[object Object],[object Object],[object Object]

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Wisconsin’s BadgerCare Plus Coverage Expansion: Early Evaluation Results

  • 1. Wisconsin’s BadgerCare Plus Coverage Expansion: Early Evaluation Results APPAM 2009 Lindsey Leininger State of WI Collaborators: Milda Aksamitauskas, Linda McCart Principal Investigators: Tom DeLeire, Thomas R.Oliver Project Director: Donna Friedsam
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  • 8. “ All Kids” Marketing
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  • 16. Enrollments Relative to Population Estimates: Children   Child All <150 150-200 200-300 300+ Urban Rural Dec-07 24% 84% 19% 0.3% 0.0% 21% 36% May-09 29% 94% 37% 5% 0.4% 25% 42% Change 5% 10% 18% 4% 0.4% 5% 6%
  • 17. Change in Initial Enrollment per Uninsured Population: Children
  • 19. Parent Enrollment by FPL Dec-07 May-09 Change % of change All 176,686 237,779 61,093 100% <150 166,051 210,213 44,162 72% 150-200 10,113 23,435 13,322 22% 200+ 390 4,131 3,741 6%
  • 20. Change in Enrollment per Uninsured Population: Parents
  • 21. Enrollments Relative to Population Estimates: Parents
  • 23. Churning: 6 Months Churning = % of enrollees in a given month who exit and re-enter the program within a 6 month window
  • 24. Who Are the Auto-Converts? All Kids Parents Auto-enrolled in Feb. 2008 41,148 17,132 24,016 Of these, what % had a family member enrolled in Jan 08? Any family member 92% 87% 95% Parent/Spouse 26% 41% 15% Sibling/Child 80% 61% 94% Previously Enrolled (2007) 62% 71% 56%
  • 25. Auto-Converts vs. Other New Enrollees
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Editor's Notes

  1. Mention that this is an ongoing reform effort and that we’re just talking about the first part of the implementation
  2. 1. Eligibility expansion
  3. 2. Administrative simplification
  4. 2. Administrative simplification
  5. 2. Administrative simplification, cont’d -- Mention that it’s taking some time to get the employer verification systems up and running
  6. Still part of 2. Administrative simplification
  7. 3. Marketing and outreach efforts -- Mention that lots of marketing materials were distributed throughout the state
  8. Marketing and outreach efforts, cont’d
  9. Mention in presentation re: qualitative component Initial round of 17 stakeholders completed Follow-up planned with program managers and county eligibility offices An overarching goal is to complement the quantitative results by providing context and rich descriptive information
  10. Mention that the CPS numbers are compared with those garnered from the ACS and the WI FHS
  11. A quick textual interpretation of original figure
  12. A second measure of take-up
  13. Heuristic to show the magnitude of the initial bump-up in enrollment relative to existing stock of uninsured people. Note that the change in enrollment reported is increase seen between December 2007 and April 2008
  14. Heuristic to show the magnitude of the initial bump-up in enrollment relative to existing stock of uninsured people. Note that the change in enrollment reported is increase seen between December 2007 and April 2008