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


  • 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.

published proceedings

  • Health Serv Res

altmetric score

  • 17.7

author list (cited authors)

  • Leininger, L. J., Friedsam, D., Dague, L., Mok, S., Hynes, E., Bergum, A., ... DeLeire, T

citation count

  • 10

complete list of authors

  • Leininger, Lindsey Jeanne||Friedsam, Donna||Dague, Laura||Mok, Shannon||Hynes, Emma||Bergum, Alison||Aksamitauskas, Milda||Oliver, Thomas||DeLeire, Thomas

publication date

  • February 2011