1. BadgerConnect Pathway to Health Care Coverage Institute Kick-Off Meeting September 26, 2007

2. 2 Overview I. Policy Goals II. Uninsured in Wisconsin III. BadgerConnect IV. Expansion to Childless Adults V. Conclusion

3. 3 I. Policy Goals Ensure 98% of Wisconsin’s population has access to health insurance by expanding to childless adults through BadgerConnect, a new online gateway to health care One-stop shop for health care access for low- income families Increase business participation and health insurance portability Use evidence-based medicine to design benefits and control costs

4. 4 II. Uninsured in Wisconsin Families with children, youth, and pregnant women will have access to affordable coverage under BC+ An estimated 71,000 childless adults would have access under the expansion Individuals with incomes above 200% FPL and non-qualifying immigrants will have access to affordable health care choices using BadgerConnect

5. 5 New health care portal for individuals and businesses Expedited HMO enrollment Tier health plans based on quality Businesses may contribute directly to employee health care needs; unprecedented in Wisconsin Medicaid Access to other affordable health care choices for those not eligible for Medicaid III. BadgerConnect-Core Services

6. 6 Any Employer (Can buy up to Core Plus for BC+ Eligible Employee) BC+ CORE Benefit HMOs (Tier I or Tier II) BC+ CORE Plus Benefit HMOs (Tier I or Tier II) BC+ TIER I HMO BadgerConnect employer buy up $ BC+ TIER II HMO Internet phone Childless Adults can enroll Other Health Care Resources cannot enroll HIRSP Rural Health Cooperatives WCDP BadgerConnect Tool

7. 7 IV. Expansion to Childless Adults Eligibility Characteristics Health Care Advisory Committee Core Benefit design Employer buy-up/Core Plus Cost-sharing Crowd-out

8. 8 V. Conclusion Wisconsin will use BadgerConnect, an innovative enrollment tool, to ensure that 98% of Wisconsin’s residents have access to affordable health care choices Expansion of BadgerCare Plus to childless adults is more than just a traditional Medicaid expansion; it is an innovative approach to increasing affordable access to health care in Wisconsin in a highly cost-effective manner. Childless adults will be Wisconsin’s first Medicaid population to use BadgerConnect to obtain coverage