The document discusses key factors that contribute to high enrollment rates in health insurance programs. It analyzes data-driven eligibility approaches used in Medicare, Massachusetts health reform, and means-tested programs that establish eligibility using existing government data rather than requiring applications. The document recommends that national health reform legislation maximize data-driven eligibility determinations, use a single application form for all subsidies, and enlist community groups and providers to assist with applications.

1. Will the Uninsured Enroll into Coverage Under National Health Reform? Alliance for Health Reform December 1, 2009 Stan Dorn The Urban Institute [email_address] 202.261.5561

3. Part I: Enrollment matters

4. If you build it, will they come?

5. Medicare Savings Programs Source: MedPAC 2008.

6. State Children’s Health Insurance Program Source: Selden, et al., 2004 (MEPS data). Effective 10/1/97

7. Health Coverage Tax Credit Costs: July 2002 Projections vs. February 2006 Estimates and Projections (millions)

8. Part II What works

10. Data-driven eligibility=rapid and high enrollment Source: Urban Institute calculations from CMS data, 6/06.

19. Part III Lessons for national health reform

20. Lesson #1: Use data, not paperwork from consumers, to establish eligibility, whenever possible Source: Urban Institute December 2009.