Behavioral Economics Clinical Trial
Official title:
Evaluating Impact of Outreach Nudges Among Individuals Losing Medicaid Coverage in California
Verified date | June 2024 |
Source | Covered California |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
Country | Name | City | State |
---|---|---|---|
United States | Covered California | Sacramento | California |
Lead Sponsor | Collaborator |
---|---|
Covered California |
United States,
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 |
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