Academy health deleire_june_2010
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Transcript of Academy health deleire_june_2010
![Page 1: Academy health deleire_june_2010](https://reader033.fdocuments.in/reader033/viewer/2022052522/554acb51b4c90542708b5042/html5/thumbnails/1.jpg)
University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Getting Parents Enrolled in Medicaid: Lessons from
Wisconsin‘s BadgerCare Plus Auto-Enrollment Process
Thomas DeLeireLindsey Leininger, Laura Dague, Shannon Mok,
Donna FriedsamUniversity of Wisconsin-Madison
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Health Care Reform• A key coverage component of the law is an
expansion of Medicaid to 133% FPL– CBO estimates that roughly 50% of the increase
in coverage will come from Medicaid expansion
• Low-income parents represent an appreciable portion of the newly eligible population– 4.1 million or 34% of newly eligible adults
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Enrollment of Eligible Persons• Many eligible individuals do not enroll in
Medicaid– 75% of uninsured children and 28% of
uninsured parents are eligible for public insurance (Holahan et al., 2007)
• Getting uninsured individuals enrolled quickly may be important for improving health (McWilliams et al., 2009)
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Auto-Enrollment Should be Considered for Health Reform Implementation
• Outline– Wisconsin’s experience with auto-enrollment– National and state by state estimates of the
number of parents that could be auto-enrolled
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
The Launch of • WI’s BadgerCare+ : joint Medicaid & CHIP
program
• Massive reform effort launched in Feb. 2008• Eligibility expansion• Auto-enrollment• Simplification of enrollment and recertification
processes• Aggressive marketing campaign
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Auto-Enrollment in Wisconsin• WI implemented a one-time “auto-
conversion” effort immediately prior to BC+ program launch – Auto-enrolled 44,000 previously ineligible or
pending applicants • Applied new program eligibility criteria to
previously ineligible individuals for whom there was current administrative data
• 92% of were siblings and/or parents of existing beneficiaries
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Auto-Enrollment in Wisconsin• Anyone who had a family member enrolled
in state health programs in December 2007 or January 2008), or who had had a case closed 30 days prior were auto-enrolled
• 44,000 auto-enrollees out of almost 70,000 individuals newly enrolled in the first month
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Kaplan-Meier Estimates of Disenrollment by Auto-Enrollment
0.0
00
.25
0.5
00
.75
1.0
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od
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0 5 10 15 20M o nths s in ce enro lled
O the r F eb rua ry e nro llee s A utoe nro llee s
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Auto-Converts vs. Other New February 2008 Entrants
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Auto-Enrollment Potentially Useful In Federal Reform
•American Community Survey, 2008
•Calculate the number of parents who would become newly eligible under 133% FPL eligibility
•Calculate what fraction of these have children already on public insurance
•Calculate what fraction of these are currently uninsured
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
![Page 12: Academy health deleire_june_2010](https://reader033.fdocuments.in/reader033/viewer/2022052522/554acb51b4c90542708b5042/html5/thumbnails/12.jpg)
University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
LEGEND
Not Applicable
23% (min) to 45%
45% to 60%
60% to 78% (max)
Percent of Newly Eligible Parents Who Are Potential Auto-Enrollees
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Percent of Potential Auto-Enrollees with Private Health Insurance
LEGEND
Not Applicable
14% (min) to 25%
25% to 35%
35% to 41%(max)
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University of Wisconsin
POPULATION HEALTH INSTITUTE
Translating Research into Policy and Practice
Conclusion• Auto-enrollment of parents
– Should be feasible given many existing data systems
– Has the potential to enroll 2.3 million parents immediately upon program expansion
– Is target efficient as 75% of these parents are uninsured