Phone Outreach Nudges Among Individuals Losing Medicaid Coverage

Behavioral Economics Clinical Trial

Official title:

Evaluating Impact of Outreach Nudges Among Individuals Losing Medicaid Coverage in California

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT06454019
• Other study ID #: SB260-OCC-2023
• Status: Enrolling by invitation
• Phase: N/A
• Start date: August 1, 2023
• Est. completion date: November 1, 2024

Study information

• Verified date: June 2024
• Source: Covered California
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 60045
• Est. completion date: November 1, 2024
• Est. primary completion date: September 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• 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

Related Conditions & MeSH terms

• Behavioral Economics
• Health Insurance

Intervention

Behavioral:
• Phone Outreach
Phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act
• Standard Notice
Standard notification letter without phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act

Locations

Country	Name	City	State
United States	Covered California	Sacramento	California

Sponsors (1)

Lead Sponsor	Collaborator
Covered California

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Health Plan Effectuation	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	within 30 days from the start date of plan they are auto-enrolled into
Secondary	Tenure with Covered California (measured in months)	A length of tenure with Covered California plan within calendar year and/or beyond	measured 1-2 years after the intervention
Secondary	Office visit	A binary indicator for whether someone had an office visit during 1-2 years since the intervention	measured 1-2 years after the intervention
Secondary	Prescriptions filled	A binary indicator for whether someone had a prescription drug fill during 1-2 years since the intervention	measured 1-2 years after the intervention
Secondary	Emergency Room Visit	A binary indicator for whether someone had an emergency room visit during 1-2 years since the intervention	measured 1-2 years after the intervention
Secondary	Hospital admission	A binary indicator for whether someone had a hospital admission 1-2 years before and 1-2 years after the intervention	1-2 years before and after the intervention
Secondary	Out-of-pocket spending on healthcare services	Total out-of-pocket spending for the 1-2 years since the intervention	measured 1-2 years after the intervention
Secondary	Uninsured	A binary indicator for whether someone self-reported being uninsured while filing their taxes	measured 1-2 years after the intervention