This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.
The drive to enroll consumers in private health insurance coverage has fostered new alignment among consumer advocates, insurance agents and brokers, community-based organizations, the Wisconsin Department of Health Services, and the health care and insurance sectors. The unique policy position on Medicaid expansion in Wisconsin brings collaboration between those who support the ACA and those who may not support the ACA, but recognize that the governor's entitlement reform plan depends on effective outreach and enrollment into the federally facilitated marketplace. The limited federal funding available for outreach and enrollment has also required public/private partnerships and unlikely alliances. Wisconsin's decision against full Medicaid expansion and instead to cover all adults up to 100 percent of the FPL, but remove adults above that level, provides a boost for the commercial insurance sector. Nearly 80,000 adults will transfer from Medicaid to marketplace coverage and be sent to purchase subsidized coverage on the exchange.