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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums
October 18, 2018
Donna Friedsam
Health Policy Program Director
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 1
Governor’s Health Insurance Coverage Goal
“Through Governor Walker’s Entitlement Reform Plan, all Wisconsinites have access to affordable health care coverage. People living in poverty have coverage through Medicaid while individuals and families above the poverty level have access to affordable private health care coverage through the federal Health Insurance Marketplace. Approved as part of the 2013-15 state budget, this plan is projected to reduce the number of uninsured in our state by 224,580, or roughly half, while strengthening the state’s safety net for Wisconsin's neediest residents.”
Governor Walker’s Entitlement Reform Plan Wisconsin Department of Health Services
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 2
Wisconsin’s Medicaid Reforms and the ACA: Fact Summary
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 3
Insurance Coverage
About 5.4% of Wisconsin residents were uninsured in 2016, down from 9.1% in 2013 Uninsured decreased by about 207,877 from 2013 to 2017, a reduction of about 40%
across the total population. Persons with incomes 100-200% FPL are most likely to be uninsured, with 21%
uninsured, and account for 32% of all uninsured residents in Wisconsin. Those above 200% FPL account for 49% of all uninsured persons in Wisconsin. Most of the gains in insurance coverage occurred through the ACA Marketplace and increases
in employer-sponsored insurance. The State has achieved 93% of the Governor’s 2015 goal of reducing the uninsured by 224,580.
Medicaid and BadgerCare Trends Parent and caretaker BadgerCare enrollment has declined by 39% since September 2013. Most
of this reflects the entitlement reforms that took effect in April 2014 that removed eligibility for adults over 100% FPL.
Most children enrolled in Medicaid are below 100% FPL. Children in poverty experienced an 8% decrease in enrollment from September 2013 to September 2018.
Enrollment of adults without dependent children (“childless adults”) has increased nearly eight-fold since 2013, with current enrollment at nearly 150,000
FPL=Federal Poverty Level
Wisconsin’s Medicaid Reforms and the ACA: Fact Summary
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 4
ACA Marketplace Summary Data During the 2018 open enrollment period), reduced from twelve to six weeks (Nov 1-Dec 15,2017), 225,435
Wisconsin consumers selected plans – 7% fewer than the 2017 period. In 2018, 88% of Wisconsin consumers who selected an ACA Marketplace plan went on to actually pay the
first month’s premium, resulting in 200,557 actual plan enrollments by February 2018. For consumers who effectuated enrollment in 2018, 88% received federal financial assistance to reduce
premiums (Advance Premium Tax Credit - APTC), while 45% received federal Cost-Sharing Reductions that reduce deductibles, and co-payments.
In 2018, 79% of consumers selecting ACA plans were reenrollees, while 21% were new to ACA Marketplace plans. Among the re-enrollees, three-quarters were “active re-enrollees” rather than simply relying on the auto-reenrollment process.
Consumers ages 18-34 make up 24% of those who selected a 2018 Marketplace plan. Insurance Plans and Premiums Wisconsin in 2018 had 11 Insurance carriers offering health plans through the ACA Marketplace. For Plan Year 2018, Wisconsin has 14 insurance carriers offering plans. Wisconsin’s average benchmark premium, unsubsidized, for 2019, is $440/month, while the average
premium for the lowest cost plan is $306/month. For consumers receiving a federal premium subsidy (APTC) for 2018 ACA plans, the average subsidy was
$665/month, with subsidized consumers paying an average premium of $106/month. For the 2019 plan year, ACA Marketplace premium rates changes have declined substantially in Wisconsin
and nationally. Wisconsin’s trend rates increase more than the national average in 2017-18, and are now decreasing slightly more than the national rate of decrease for 2019.
Employer, 56%
Non-Group/Individual, [VALUE]
Medicaid, 16%
Medicare, 14%
Other Public, 2% Uninsured,
7%
Health Insurance Coverage of the Total Population, 2016
Data Source 13
Uninsured in 2013 and 2017: Before and After the ACA Took Effect
About 5.4% of residents were uninsured in 2017, down from 9.1% in 2013. Persons without insurance decreased by about 207,877 people, a reduction of about 40%. Decreases in the number of uninsured people occurred across all income levels.
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 1
Page 5
207,125
97,420
93,195
59,086
213,232
149,169
0
100000
200000
300000
400000
500000
600000
Wisconsin Uninsured 2013 and 2017, Residents for Whom Poverty Status is Determined
≥200% FPL
138-199% FPL
<138% FPL
2013 2017
Total 513,552
Total 305,675
Medicaid/BadgerCare and HealthCare.Gov MarketPlace Coverage, Wisconsin, September 2018
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 7
Data Sources: 1, 2, 6
Coverage Program
Total
Enrollment
Percent of Statewide
Population
BadgerCare Children 424,184 33% of children
BadgerCare Adults (parents, caretaker, childless adults) 238,834 7% of adults <age 65
Other BadgerCare - Pregnant Women, Youths Exiting Foster Care, Income Extensions, Express Enrollment
108,508
Total BadgerCare 775,619 14% of Total Population
Elderly/Blind/Disabled 223,557
Other Coverage 182,841
Total Medicaid 1,182,017 21% of total population
Total Consumers Effectuating Enrollment in ACA Marketplace Plans, February 2018 200,557 6% of population <age 65
More Wisconsin residents gained employment-based health insurance as the economy improved. Increase in direct-purchase of individual health insurance, most through the Marketplace. Some people may come to these coverages from other sources of coverage, but the net increase in both
employer-sponsored and direct-purchase individual coverage accounts for most of the reduction in the overall number of uninsured.
How Did the Uninsured Decrease? Overall Changes in Source of Health Insurance Coverage, 2013-2017
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 1
Page 6
45,018 56,645
(34,508)
147,314
51,284
(208,392) (250,000)
(200,000)
(150,000)
(100,000)
(50,000)
-
50,000
100,000
150,000
200,000
Change in Coverage, 2013-2017
5%
25%
-5%
5%
18%
-40%
-50%
-40%
-30%
-20%
-10%
0%
10%
20%
30%
Percent Change in Coverage, 2013-2017
4.7%
12.8%
0.3% 3.5%
7.2%
0.3% 0.0%
5.0%
10.0%
15.0%
20.0%
Under 18 years 18 to 64 years 65 years and older
Uninsured by Age Range, Wisconsin 2013-2017
Substantial declines in uninsured occurred across the population. Largest declines in rates of uninsured occurred among persons in the lowest income groups,
persons ages 19-25 years old, and among racial and ethnic minorities.
2013
2017
Uninsured Trends Wisconsin, 2013-2017
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 1
Page 7
8.1%
14.4%
22.9%
11.1%
33.8%
10.1%
25.0%
7.3% 4.6%
7.2%
17.3%
7.7%
21.3%
7.2%
15.8%
4.2%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
White alone Black or AfricanAmerican alone
American Indianand Alaska
Native alone
Asian alone Some other racealone
Two or moreraces
Hispanic orLatino (of any
race)
White alone, notHispanic or
Latino
Change in Uninsured by Race, Ethnicity, Wisconsin 2013-2017
18.4%
15.0%
5.5%
9.1% 10.1%
7.2%
3.9% 5.4%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
<138% FPL 138-199% FPL ≥200% FPL Total Population
Uninsured by Income Category, Wisconsin 2013-2017
<100% FPL,
19.6%
100-199% FPL,
31.6%
200-299% FPL,
23.1%
≥ 300% FPL,
25.7%
Who is Still Uninsured?: Wisconsin Residents who Remained Uninsured, ACS 2017
Children under the age of 19 make up about 17% of the remaining
uninsured, with an estimated 52,599 in that age range remaining uninsured
in Wisconsin as of 2016.
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 8
Data Source: 1
Total Number of Uninsured Individuals, By Age
Persons 100-199% FPL most likely to be uninsured: 21.1% compared to 2.5% for persons >300% FPL, and account for 32% of all uninsured Wisconsin residents.
Under 19 years, 52,599
19-64, [VALUE]
65 years and older,
3,713
But persons above 200% FPL
account for nearly half (49%) of all uninsured persons in Wisconsin.
18.9% 21.1%
7.6%
2.5% 5.4%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
<100% FPL 100-199% FPL 200-299% FPL ≥ 300% FPL Total Uninsured
Total Number of Uninsured Individuals, By Income
59,912
70,611 305,675
96,593
78.558
In Wisconsin, total BadgerCare enrollment increased by 23,509 persons (3.2%) from 2013-2018, due to the increased eligibility for adults without dependent children (“childless adults”).
Enrollment of childless adults has increased nearly eight-fold since 2013, to nearly 150,000 BadgerCare members. Parent and caretaker BadgerCare enrollment has declined by 39% since September 2013. Most of this reflects the
changes that took effect in April 2014 that removed eligibility for adults over 100% FPL.
Pre- and Post-ACA Medicaid/BadgerCare Enrollment
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 2
Page 9
-[VALUE]
-[VALUE]
131,382
23,720
424,184
136,211
148,156
775,619
428,277
222,060
16,774
751,899
200,000 100,000 0 100,000 200,000 300,000 400,000 500,000 600,000 700,000 800,000 900,000
Children
Parents/Caretakers
Childless Adults
BadgerCare Plus
Sep-13 Sep-18 Change 2013-2018
Children’s Pre- and Post-ACA Medicaid/BadgerCare Enrollment
Children’s enrollment overall has declined slightly, with some interim fluctuations, since 2013. Family income for most children enrolled in Medicaid is below 100% FPL. That coverage group experienced an 8% decline in enrollment since 2013.
Data Source: 2
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 10
Note: This does not include changes in coverage extensions under “Transitional Medical Assistance” (TMA)
-23,776
12,934
3,465
4,980
-1,696
-4,093
273,227
78,904
48,658
16,903
6,492
424,184
297,003
65,970
45,193
11,923
8,188
428,277
-50,000 0 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000
0-100% FPL
100-150% FPL
150-200% FPL
200-250% FPL
> 250% FPL
Total
Sep-13 Sep-18 Change
HMO Managed Care Enrollment, BadgerCare Members, September 2018
As of September 2018, about 700,000 BadgerCare Members were enrolled in 15 Managed Care Organizations statewide.
UnitedHealthcare and Children’s Community Health Plans together enroll about 38% of BadgerCare members.
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 11
Data Source: 3
145,412
123,910
84,827
56,062
55,521
47,961
37,281
33,762
32,845
29,627
16,240
12,118
11,190
9,233
5,433
0 20,000 40,000 60,000 80,000 100,000 120,000 140,000 160,000
UNITEDHEALTHCARE
CHILDRENS COMM HEALTH PLAN
ANTHEM BCBS
MOLINA HEALTHCARE
SECURITY HEALTH PLAN
GROUP HEALTH COOP EAU CLAIRE
DEAN HEALTH PLAN INC
NETWORK HEALTH PLAN
MHS HEALTH WISCONSIN
QUARTZ
INDEPENDENT CARE (ICARE)
MERCY CARE
TRILOGY HEALTH INSURANCE
PHYSICIANS PLUS
GHC SOUTHCENTR
Wisconsin Individual Market Health Insurance: Overall Enrollment Trend
ACA-compliant single risk pool (includes both on- and off-exchange): Subject to all ACA provisions, such as coverage of essential health benefit package and no annual or lifetime benefit limits.
Grandfathered Individual/Individual Association Market (policies issued on or before March 23, 2010): Not subject to most provisions of the ACA.
Transitional Individual/Association Market (policies issued between March 24, 2010 and December 1, 2013). Subject to limited provisions of the ACA.
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 9
Page 12
155,722
213,860 233,904
212,911
18,469
11,771 6,204
5,032 86,842
51,449 34,171
25,961
0
50,000
100,000
150,000
200,000
250,000
300,000
2014 2015 2016 2017ACA-Compliant Single Risk PoolGrandfathered Individual/Individual Association MarketTransitional Individual/Association Market
277,080 261,033
274,279
243,904
Plan Selections: Open Enrollment Trend 2016-18
Open Enrollment Plan Year
(Enrollment Period Length)
Number of Plan Selections
OE 2016 (12 weeks) 239,034
OE 2017 (12 weeks) 242,863
OE 2018 (6 weeks) 225,435
2018 ACA Plans
Number of Plan
Selections
Percent of Plan
Selections
Effectuating Coverage through February 2018
200,557
88%
Consumers with Premium Subsidies (APTCs)
166,310 82%
Consumers with Cost-Sharing Reductions (CSRs)
89,436 45%
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 4, ,5,6, 7
Page 13
Plan selections remained strong for 2018, despite the enrollment period reduction from 12 to 6 weeks. Effectuated enrollment refers to those consumers who pay select a plan and pay their first month premium
to activate their coverage. In 2018, 88% of Wisconsin consumers who selected an ACA Marketplace plan went on to effectuate their
enrollment, resulting in 200,557 actual plan enrollments in February 2018.
Of those selecting ACA plans in 2018, 79% were re-enrollees, while one-quarter were new enrollees.
Most re-enrollees actively re-enroll, with an enrollment assister or directly via Healthcare.gov, rather than relying on the auto-reenrollment process.
2018 Plan Selections: Enrollment Mode
New Consumers, 21.4%
Active Reenrollees,
59.8%
Automatic Reenrollees,
18.9%
Reenrollees, [VALUE]
[CATEGORY NAME], [VALUE],
(33%) [CATEGORY
NAME], [VALUE],
(54%)
[CATEGORY NAME], [VALUE],
(11%)
[CATEGORY NAME], [VALUE],
(<1%)
[CATEGORY NAME], [VALUE],
(<1%)
Plan Selection by Metal Level, 2018
Wisconsin Plan Premiums and Subsidies (Advance Premium Tax Credits-APTC)
Data Source: 5, 6, 10, 11. 12
Page 14 UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Total Effectuated Coverage, February 2018, N=200,557
Number Percent
Consumers with Advance Premium Tax Credits (APTCs)
176,410 88%
Consumers with Cost Sharing Reductions (CSRs) 89,436 45%
Average APTC among consumers receiving APTC $665
Average Premium after APTC among consumers receiving APTC
$106
Metal level plan
Average monthly premium
Average monthly premium
after APTC
Bronze $626 $209
Silver $833 $158
Gold $759 $278
Wisconsin Plan Premiums and Subsidies (Advance Premium Tax Credits-APTC)
Premiums began rising substantially for 2017 plans, with an uncertain federal policy environment. Nonetheless, ACA premium subsidies (APTC) shield consumers with incomes < 400% FPL from the
premium increases, because the subsidy increases when the premium rises.
Data Source: 5. 6, 10, 11. 12
Page 14
2014 2015 2016 2017 2018
Monthly Premium, Average Benchmark Plan, 40-year old $298 $306 $319 $368 $569
Percent change -- 3% 4% 15% 55%
Monthly Premium, Average Lowest Cost Plan, 27-year-old $195 $198 $207 $250 $342
Percent change -- 2% 5% 21% 37%
27-year-old with household income of $25,000 (~210% FPL)
Family of four with household income of $60,000 (~125% FPL)
Benchmark premium before subsidy (APTC)
APTC (premium subsidy) amount
Monthly premium
after subsidy (APTC)
Benchmark premium before subsidy (APTC)
APTC (premium subsidy) amount
Monthly premium
after subsidy (APTC)
2017 $302 $161 $141 $1,094 $690 $404
2018 $468 $329 $139 $1,695 $1,296 $399
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Wisconsin ACA Plan Selections: Open Enrollment 2018
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 5
Page 15
Consumers ages 18-34 make up about 24% of ACA plan selections.
Consumers with incomes less than 200% FPL make up about 45% of ACA plan selections.
≥100% to ≤150% FPL ,
23.8%
>150% to ≤200% FPL ,
21.1%
>200% to ≤250% FPL ,
15.2%
>250% to ≤300% FPL ,
10.1%
>300%- ≤400% FPL ,
16.9%
Other FPL, 3.0%
Not reported, 9.8%
Plan Selections by Income Range
Age < 18, 6.3%
Age 18-25, 8.2%
Age 26-34, 15.9%
Age 35-44, 14.3%
Age 45-54, 18.6%
Age 55-64, 36.2%
Age ≥65, 0.5%
Plan Selections by Age Group 2018
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 5
Page 16
37% 30%
63% 70%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Plan Selections WI Population
Plan Selections, 2018, Rural and Non-Rural, Compared to Overall Wisconsin Population
Rural Non-Rural
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 17
Number of insurance carriers offering plans
in Wisconsin, by county, for 2018
through the ACA
Marketplace
Data Source: 8
Insurers Offering Plans, 2018 Aspirus Arise
Children’s Community Health Common Ground Dean Health Plan
Group Health Coop Health Partners
Medica MercyCare
Network Health Security Health
Gunderson/Unity/Quartz 11
34
20
4 3
0
5
10
15
20
25
30
35
40
1 insurer 2 insurers 3 insurers 4 insurers 5 insurers
Num
ber o
f cou
ntie
s
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018
Data Source: 8
Page 18
Number of Counties by Number of Insurers offering Plans through the ACA Marketplace 27 Wisconsin counties have at least three insurance carriers offering ACA plans. 34 Wisconsin counties have two carriers offering ACA plans 11 counties have only one insurance carrier offering ACA plans
Issuer Requested
Rate Change Issuer Requested
Rate Change Aspirus Arise Health Plan
POS 13.65% MercyCare HMO 9.20%
HMO 12.88% Molina Healthcare of Wisconsin -19.01%
Children's Community Health Plan 8.84% Network Health Plan
SE WI -3.53%
Common Ground Healthcare Cooperative
-18.94% NE WI -7.56%
Dean Health Plan -11.89% Security Health Plan of
Wisconsin, Inc. 11.95%
-14.79% 10.17%
Group Health Cooperative of South Central Wisconsin
4.51%
Unity Health Plans
-8.88%
0.17% -11.04%
HealthPartners Insurance Company
-0.12% -18.70%
-0.20% Wisconsin Physicians Svc Insurance Corp
-1.23%
Medica Health Plans of Wisconsin 1.39%
WPS Health Plan, Inc. HMO 2.28%
-6.06% POS 0.72%
Wisconsin ACA Marketplace Rate Filings, July 2018
Insurers offering plans on the ACA Marketplace for the 2019 plan year submitted preliminary premium rates in July 2018.
Most plans project rate decreases in 2019, with a range of a 14% increase to a 19% decrease.
$261 $302
$464 $440
$240
$301
$412 $406
$- $50
$100 $150 $200 $250 $300 $350 $400 $450 $500
2016 2017 2018 2019
Premium Trend, Benchmark Plan, 2016-2019
Wisconsin U.S.
15.7%
53.6%
-5.2%
25.4%
36.9%
-1.5%
-10.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
2016-17 2017-18 2018-19
Annual Premium Rate Changes, Benchmark Plan, 2016-2019
Wisconsin U.S.
Wisconsin’s average ACA Marketplace health plan rates have been slightly higher than the national
average, and have followed the national trend over
time.
For the 2019 plan year, the premium rates changes have
declined substantially in Wisconsin and nationally.
Wisconsin’s trend rates increase more than the national average
in 2017-18, and are now decreasing slightly more than
the national rate of decrease for 2019.
Data Source 14
Benchmark Plan = Second-Lowest Cost Silver Plan
REFERENCES 1. American Factfinder. Demographic and Uninsurance data from U.S. Census, American Community Survey (ACS) 2013-17.
http://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml
2. Wisconsin Department of Health Services. Medicaid/BadgerCare as of September 2018. https://www.forwardhealth.wi.gov/wiportal/Tab/42/icscontent/Member/caseloads/enrollment/enrollment.htm.spage
3. Wisconsin Department of Health Services. Forward Health Monthly HMO Enrollment Reports. https://www.forwardhealth.wi.gov/WIPortal/content/Managed%20Care%20Organization/Enrollment_Information/Reports.htm.spage
4. CMS, US DHHS. 2018 Marketplace Open Enrollment Period Public Use Files. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Marketplace-Products/2018_Open_Enrollment.html
5. CMS, US DHHS. 2017 and 2018 Marketplace Open Enrollment Period Public Use Files. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Marketplace-Products/Plan_Selection_ZIP.html
6. CMS, US DHHS. First Half of 2017 Average Effectuated Enrollment Report. 12-13-2017. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-13-2.html
7. CMS. Final Weekly Enrollment Snapshot for 2018 Open Enrollment Period. 12-28-2017. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-28.html
8. Wisconsin Office of the Commissioner of Insurance. Individual Health Insurance Carriers in Wisconsin – 2018 https://oci.wi.gov/Pages/Consumers/ProviderMap2018.aspx
9. Wisconsin Office of the Commissioner of Insurance. Comprehensive Health Insurance Enrollment Reports. Last Updated July 31, 2017. https://oci.wi.gov/Pages/Companies/CompHealthEnrollment.aspx
10. U.S. DHHS, ASPE Compilation of State Data on the Affordable Care Act, December 2016. https://aspe.hhs.gov/compilation-state-data-affordable-care-act
11. U.S. DHHS. ASPE Research Brief. Health Plan Choice and Premiums in the 2018 Federal Health Insurance Exchange. October 2017. https://aspe.hhs.gov/system/files/pdf/258456/Landscape_Master2018_1.pdf
12. Kaiser Family Foundation. State Health Facts. Marketplace Average Benchmark Premiums, 2014-2018. https://www.kff.org/health-reform/state-indicator/marketplace-average-benchmark-premiums/
13. Kaiser Family Foundation. Health Insurance Coverage of the Total Population, 2016. https://www.kff.org/other/state-indicator/total-population/?currentTimeframe=0&selectedRows=%7B%22states%22:%7B%22wisconsin%22:%7B%7D%7D%7D&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
14. Average Monthly Premiums for Second-Lowest Cost Silver Plan and Lowest Cost Plan for States Using the Healthcare.gov Platform, 2016-2019. https://www.cms.gov/sites/drupal/files/2018-10/10-11-18%20Average%20Monthly%20Premiums%20for%20SLCSP%20and%20LCP%202016-2019.pdf
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 19
Health Policy Programs Donna Friedsam, Director uwphi.pophealth.wisc.edu
@UWHealthPolicy
UW Population Health Institute – Wisconsin Health Insurance Coverage Chartpack 2018 Page 20