Evaluating Impact of Outreach Nudges Among Individuals Losing Medicaid Coverage in California
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 60,045
- 试验地点
- 2
- 主要终点
- Health Plan Effectuation
研究概览
简要总结
In May 2023, Covered California, California's ACA marketplace, implemented its automatic enrollment program for individuals losing Medicaid coverage, as defined by Senate Bill 260. If individuals are found eligible for subsidized marketplace coverage, individuals will be automatically enrolled in the lowest cost silver plan available to them, but individuals must still take action to confirm their plan or pay their first month's premium. To identify whether the phone outreach is the effective outreach strategy to increase take-up in this population, Covered California implemented this intervention. The results of this evaluation will inform operational and budgeting decisions.
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 (Participant)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Lost Medi-Cal (California's Medicaid coverage) in July 2023-June 2024
- •Auto-enrolled into lowest cost silver plan with Covered California as per Senate Bill 260 and have not opted-in (effectuated) into the coverage
- •Have a valid phone number on the health insurance application
- •Do not have a delegated agent to their case
- •Still have Covered California Program eligibility, not reverted back to Medi-Cal coverage
- •Have English or Spanish as preferred speaking language
排除标准
- 未提供
结局指标
主要结局
Health Plan Effectuation
时间窗: within 30 days from the start date of plan they are auto-enrolled into
A binary indicator for whether a consumer is effectuated into (paid for, opt-in into) Covered California plan, either the plan assigned through the auto-enrollment process, or into another plan chosen by the consumer by the end of the month at which outreach was conducted
次要结局
- Tenure with Covered California (measured in months)(measured 1-2 years after the intervention)
- Emergency Room Visit(measured 1-2 years after the intervention)
- Office visit(measured 1-2 years after the intervention)
- Prescriptions filled(measured 1-2 years after the intervention)
- Hospital admission(1-2 years before and after the intervention)
- Uninsured(measured 1-2 years after the intervention)
- Out-of-pocket spending on healthcare services(measured 1-2 years after the intervention)
研究者
Marina Lovchikova
Senior Research Data Scientist
Covered California