Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 30,000
- 试验地点
- 2
- 主要终点
- Enrollment
研究概览
简要总结
Facilitated enrollment offers a potential solution to some administrative burdens and choice frictions that may produce incomplete take-up of marketplace coverage. Because Covered California, California's ACA individual marketplace, and Medi-Cal, California's Medicaid program, share an eligibility system, Covered California has the ability to identify individuals who are eligible for marketplace coverage upon losing Medicaid eligibility.
This evaluation will compare the effectiveness of facilitated enrollment strategies, including personalized plan pre-selection and personalized quotes of net premiums, to other enhanced, but general outreach tactics, on marketplace take-up among individuals losing Medi-Cal coverage.
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
- Double (Participant, Care Provider)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individual in a single-member household
- •Discontinued from Medi-Cal
- •Eligible for Covered California program
- •Ineligible for APTCs on initial application
- •Did not attest to planning to file taxes within their Covered California application
排除标准
- •Consumer case is no longer active within the application system
- •Consumer is already actively enrolled in a marketplace plan
- •Consumer has already restored Medi-Cal eligibility
- •A consumer's Special Enrollment Period has ended
- •Consumer is no longer listed as a single-member household
- •Consumer was procedurally denied from Medi-Cal coverage due to no response
- •Consumers has a MAGI Medi-Cal income less than 138% of the Federal Poverty Level (FPL)
结局指标
主要结局
Enrollment
时间窗: within calendar year since the loss of Medicaid
a binary indicator for whether a consumer has at least one month of effectuated coverage a Covered California plan that started within the 90 days of their Special Enrollment Period (SEP) following loss of Medi-Cal coverage
次要结局
- Tenure(within 1-2 years after treatment assignment)
- Uninsured(within 1-2 years from the treatment assignment)
- Consumer engagement(within 90 days from the treatment assignment)
- Office visit(during 1-2 years since the treatment assignment)
- Prescription filled(during 1-2 years since the treatment assignment)
- Emergency room visit(during 1-2 years since the treatment assignment)
- Hospital admission(1-2 years before and during 1-2 years after the treatment assignment)
- Out-of-pocket health care spending(during 1-2 years since the treatment assignment)
研究者
Emory Wolf
Assistant Deputy Director, Evaluation & Research
Covered California