Increasing Health Insurance Enrollment Among Uninsured Americans

Not Applicable

Completed

• Conditions: Health Behavior

• Registration Number: NCT05010395
• Lead Sponsor: Office of Evaluation Sciences

Brief Summary

This randomized evaluation used behaviorally-informed letters to increase health insurance take-up on the Affordable Care Act (ACA) Marketplaces.

Detailed Description

During Open Enrollment Periods for the ACA Marketplaces, qualifying individuals can purchase health insurance plans through the Federal Health Insurance Marketplace (FHIM). As of early February 2015, many people had visited HealthCare.gov and started an online account, but not yet selected a plan. The Department of Health and Human Services (HHS), in collaboration with the Office of Evaluation Sciences (OES), developed and sent letters to assist these individuals with completing their enrollment before the deadline.

To evaluate the effect of the letters, the team used a randomized controlled trial.

Study Timeline

• Study Start: 2015-01-15
• Primary Completion: 2015-02-15
• Study Completion: 2015-06-01
• Study First Submitted: 2021-07-09
• Status Verified: 2021-08
• Study First Submitted QC: 2021-08-10
• Last Update Submitted: 2021-08-10
• Study First Posted: 2021-08-18
• Last Update Posted: 2021-08-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 811795

Inclusion Criteria

• Those with an English language preference; those who had not enrolled in an ACA plan as of early February 2015

Exclusion Criteria

• Those with a Spanish language preference

This intervention was a program evaluation and did not go through Human Subjects Protection Review.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Percent of individuals enrolling in an ACA plan by the end of the Open Enrollment period.	Two weeks	Percent of individuals enrolling in an ACA plan during the observation period.