What Proven Strategies Help Maximize Enrollment in Public Health Insurance Programs?

The Affordable Care Act (ACA) will make insurance coverage available to an estimated 30 million additional people, largely through expansions in Medicaid and the Children’s Health Insurance Program (CHIP). The success of these expansions will hinge on whether states are successful in enrolling all the newly eligible people. In the past, states have struggled to enroll everyone eligible for government health insurance. As of February 2009, nearly two-thirds of the uninsured children in the United States were eligible for Medicaid or SCHIP but were not enrolled.

  • States will play a vital role in the success of federal health reform by enrolling residents in public health insurance programs.
  • States have boosted enrollment in the past by making the process simpler and by partnering with outside groups.
  • Automatic enrollment strategies are an effective way to increase enrollment.

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