CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. 3. Findings


Below we discuss the findings of this analysis. We begin by addressing the most basic question: How many children have entered through ELE? To establish how many children are directly enrolled through ELE both at initial implementation and on an ongoing basis, we compared monthly Medicaid and CHIP trends to determine whether new enrollments were facilitated by ELE or non-ELE processes. Second, we consider whether children enrolled through ELE are more difficult to retain in the system at renewal. Comparing retention outcomes of ELE and non-ELE enrollees will inform whether it is easier or more difficult for ELE enrollees to retain coverage. We can balance this finding against the relative ease of initial enrollment via ELE to determine the overall effectiveness of this mechanism. We next compare the demographic and enrollment history profile of ELE enrollees to those of individuals who enrolled over the same time period through standard enrollment processes. To the extent that ELE reaches new families, those families are likely to differ from those that can be reached by other means. These findings will help policymakers understand whether ELE brings unique value as an outreach or enrollment tool. At the end of this chapter, we present an overall discussion of our findings and the lessons that can be taken from the experiences of these early adopting states.

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