covering all kids in wisconsin. more than 9 in 10 children in wisconsin have health insurance
TRANSCRIPT
Covering All Kids in Wisconsin
More than 9 in 10 children in Wisconsin have health insurance
Uninsured Children in Wisconsin (1999 – 2006)
Source: WCCF Analysis of DHFS Family Health Survey Data
Children Uninsured All or Part Year
0
40,000
80,000
120,000
160,000
200,000
1999 2000 2001 2002 2003 2004 2005 2006
Year
Kid
s (
0-1
7)
Un
insu
red
Health Insurance for Children in Wisconsin (2006)
Uninsured
6%Private
Insurance / Employer-Sponsored
75%
Public Insurance
(MA or BadgerCare)
18%
BadgerCare Plus
• Covers “all” kids, regardless of income• Covers parents to 200% of FPL & pregnant
women to 300%• Consolidates and “streamlines” the various
categories of coverage• Removes many barriers to participation
CMS approved it on Nov. 27 – because the state didn’t seek FFP beyond 250%.
6
PregnantWomen
Children 0- 18
ParentsCaretaker Relatives
300%
200%
185%
150%
100%
44%
BadgerCare Plus Expansion
Current BadgerCare
Current Medicaid & Healthy Start
No Income Limit
BadgerCare Plus Covered Populations
Youth Exiting
Out-of-homeCare
No Income Limit
FPL
Self-Employed/Farmers
Wisconsin’s Uninsured Children (2006)
Source: WCCF analysis of 2006 Family Health Survey
Wisconsin has 98,000 uninsured children.
32%
Not Income Eligible for BadgerCare68%
Income Eligible for BadgerCare
Barriers to BadgerCare Participation
Source: WCCF analysis of DHFS data & LFB projections
Growth in Denials and Terminations for Not Meeting Federal Documentation Requirements
0
5,000
10,000
15,000
20,000
25,000
30,000
Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept.
Cu
mu
lati
ve
Nu
mb
er
of
Pe
op
le
De
nie
d o
r T
erm
ina
ted
citizenship or both identity
Barriers to BadgerCare Participation
Source: WCCF analysis of DHFS data & LFB projections
BadgerCare Enrollment : Estimated vs. Actual (July 2003 - June 2005)
60,000
70,000
80,000
90,000
100,000
110,000
120,000
130,000
Mo
nth
ly E
nro
llm
en
t
Initial LFBgrowthprojection
Projectionadjusted forbudgetchanges
Actualenrollment
Premium increase began
Employer verification implemented in mid-May
What Kids Will We Miss?
• Non-citizens (including legal immigrants in the US less than 5 years)
• Kids (and parents) in families with income over 150% of poverty who cannot afford to pay 20% of the premium (and other cost-sharing) for employer-sponsored coverage.
• Families who don’t realize they are eligible (However, eliminating the income cap allows WI to use a clear outreach message that should help us reach more low income families.)