Outreach and Maintenance of Medicaid Enrollment: Evidence From Wisconsin's Navigator Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 97,854
- 试验地点
- 2
- 主要终点
- Number of Participants Who Renew Medicaid Coverage
研究概览
简要总结
This project will assess the impact of various forms of outreach from navigators on Medicaid enrollment. Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The investigators propose to randomize the nature of outreach to households in Wisconsin enrolled in fee-for-service Medicaid who must renew or lose their coverage.
详细描述
During the COVID-19 public health emergency, states received support to maintain continuous Medicaid coverage, raising Medicaid enrollment to unprecedented levels. In Wisconsin, enrollment was nearly 30% higher by the end of 2021 compared to February 2020, with the maintenance of enrollment policy contributing to much of this increase. After the end of the public health emergency, normal renewal processes will resume.
The Wisconsin navigator program, Covering Wisconsin, has been commissioned by the Department of Health Services (DHS) to conduct outreach to the group of fee-for-service Medicaid beneficiaries who need to re-determine eligibility after the conclusion of the public health emergency. To identify what outreach strategies are most effective, the investigators propose to randomize the nature of outreach used. While there will be some variation in the content and timing of messages, all beneficiaries will receive messages with clear information on how to contact the navigators.
Per a protocol amendment approved on 2/21/24, the study team will no longer randomize receipt of an outbound call but rather will provide it to all participants.
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
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Included on the lists Wisconsin DHS provides to Covering Wisconsin of fee-for-service Medicaid beneficiaries who need to renew their Medicaid coverage
排除标准
- •Prefer a language other than English or Spanish or lack a cellular phone number
研究组 & 干预措施
Outreach via Postcard + Outbound Call
Outreach via postcard, plus placed an outbound phone call from navigators (20% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Call to Hotline
Outreach via text message encouraging a call to a hotline for assistance (15% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Call to Hotline + Outbound Call
Outreach via text message encouraging a call to a hotline for assistance, plus outbound phone call from navigators (7.5% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Text Reply To Connect with Navigators
Outreach via text message encouraging a text reply to connect with navigators via chatbot (15% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Text Reply To Connect with Navigators + Outbound Call
Outreach via text message encouraging a text reply to connect with navigators via chatbot, plus an outbound phone call from navigators (7.5% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging a Call to a Hotline for Assistance + a Reminder Message
Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later (15% of sample)
干预措施: Outreach From Navigators (Other)
Outreach Text Message Encouraging Call a Hotline for Assistance + Reminder Message
Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later + outbound call (7.5% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Text Reply To Connect with Navigators+ a Reminder Message
Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later (15% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Text Message Encouraging Reply To Connect with Navigators + Reminder Message
Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later + outbound call (7.5% of sample)
干预措施: Outreach From Navigators (Other)
Outreach via Postcard
40 percent of the sample
干预措施: Outreach From Navigators (Other)
结局指标
主要结局
Number of Participants Who Renew Medicaid Coverage
时间窗: up to 1 year
次要结局
未报告次要终点