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Health Serv Res. 2011 Feb;46(1 Pt 2):336-47. doi: 10.1111/j.1475-6773.2010.01215.x. Epub 2010 Dec 9.

Wisconsin's BadgerCare Plus reform: impact on low-income families' enrollment and retention in public coverage.

Author information

  • 1Chapin Hall at the University of Chicago, Chicago, IL 60637, USA. lleininger@chapinhall.org

Abstract

OBJECTIVES:

To examine the impact of a Wisconsin health care reform enacted in early 2008 on public insurance enrollment and retention.

DATA SOURCES:

Administrative data covering the period January 2007 to November 2009.

STUDY DESIGN:

We calculate unadjusted enrollment trends and exit rates stratified by age, income group, and enrollment mode. Kaplan-Meier curves and Cox proportional hazards models are estimated to assess the impact of the reform on program exits.

PRINCIPAL FINDINGS:

Overall enrollment increased by approximately one-third and exit rates decreased by approximately one-fifth. The majority of new enrollment came from the previously income eligible.

CONCLUSIONS:

Wisconsin's enactment of eligibility expansions coupled with administrative simplification and targeted marketing and outreach efforts were successful in enrolling and retaining low-income children and families in public coverage.

© Health Research and Educational Trust.

PMID:
21143476
[PubMed - indexed for MEDLINE]
PMCID:
PMC3037786
Free PMC Article

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