Address correspondence to Lindsey Jeanne Leininger, Ph.D., Researcher, Chapin Hall at the University of Chicago, 1313 East 60th Street, Chicago, IL 60637; e-mail: firstname.lastname@example.org. Donna A. Friedsam, M.P.H., Emma Hynes, M.P.A., M.P.H., and Alison Bergum, M.P.A., are with the Population Health Institute, University of Wisconsin–Madison, Madison, WI. Laura Dague, Ph.D. candidate, and Shannon Mok, M.S., are with the Department of Economics, University of Wisconsin–Madison, Madison, WI. Milda Aksamitauskas, M.P.P., is with the Wisconsin Department of Health Services, Madison, WI. Thomas R. Oliver, Ph.D., M.H.A, is with the Department of Population Health Sciences, University of Wisconsin–Madison, Madison, WI. Thomas DeLeire, Ph.D., is with the Department of Population Health Sciences and the La Follette School of Public Affairs, University of Wisconsin–Madison, Madison, WI.
Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage
Article first published online: 9 DEC 2010
© Health Research and Educational Trust
Health Services Research
Volume 46, Issue 1p2, pages 336–347, February 2011
How to Cite
Leininger, L. J., Friedsam, D., Dague, L., Mok, S., Hynes, E., Bergum, A., Aksamitauskas, M., Oliver, T. and DeLeire, T. (2011), Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage. Health Services Research, 46: 336–347. doi: 10.1111/j.1475-6773.2010.01215.x
- Issue published online: 3 JAN 2011
- Article first published online: 9 DEC 2010
- Medicaid expansions;
- health care reform;
- health insurance
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.