Analyzing the Impact of the Now iKnow Health Care Price Transparency Tool
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 81,000
- 试验地点
- 1
- 主要终点
- mean per-member-per-month total health care costs
研究概览
简要总结
This project aims to assess the impact of a web-based health care cost and quality tool that is being implemented by a health plan for its members. The study will focus on members working for medium to large employers that have more than 90% of employees enrolled in deductible and tiered network health plans. The study will use an interrupted time series (ITS) design that includes random allocation of half of these employers to a study arm that will receive enhanced promotion of the tool and a $500 lottery incentive for its use in order to increase take-up. With these two study groups (a "high-dose" group receiving enhanced promotion and a lottery, and a "low-dose" group receiving routine promotion of the tool), the study will be able to evaluate whether access to a price transparency tool leads to reduced costs and more value-driven member behavior, and whether extra promotion increases take-up.
Members in the high-dose group who use the tool will be eligible to enter a monthly lottery to win a $500 prize during the 12-month intervention period. In addition to the lottery, employers in the high-dose group will receive additional promotional strategies such as a mailing and messages through the plan's member web portal to promote the tool and the lottery, and e-mails and flyers for employers to promote the tool and lottery to employees.
The aims of this project are to: 1) examine take-up of the tool and factors that predict take-up; and 2) to examine the impact of the tool on total and out-of-pocket health care costs and utilization
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Health plan members from employers with at least 40 subscribers, of which at least 90% are currently in deductible plans or tiered network plans, and of which at least 80% were in deductible or tiered network plans in the prior year
排除标准
- •Members in non-group accounts and members in Medicare plans; members in states outside Massachusetts, New Hampshire, or Maine
研究组 & 干预措施
lottery and enhanced promotion of tool
tool users in the intervention arm will be eligible to enter a monthly lottery to win one of two monthly drawings of a $500 gift card, and will receive enhanced promotion of the tool (mailed promotion, promotional message on the member web portal, and promotion through employers to employees)
干预措施: lottery for tool users to win a $500 prize (Other)
lottery and enhanced promotion of tool
tool users in the intervention arm will be eligible to enter a monthly lottery to win one of two monthly drawings of a $500 gift card, and will receive enhanced promotion of the tool (mailed promotion, promotional message on the member web portal, and promotion through employers to employees)
干预措施: enhanced promotion of the tool to employers and members (Other)
usual promotion of the tool
Routine promotion of the tool through newsletter and on health plan web site
结局指标
主要结局
mean per-member-per-month total health care costs
时间窗: monthly for 12 months
employer level per-member-per-month total costs based on claims data
次要结局
- mean per-member-per-month out-of-pocket costs(monthly for 12 months)
- percent of subjects using the tool(measured quarterly for 12 months)
- per-member-per-month utilization of health care services(monthly for 12 months)
研究者
Alison Galbraith
Assistant Professor
Harvard Pilgrim Health Care