Using Personalized Letters and Emails to Increase Health Insurance Take-up and Improve Plan Choice Quality

Health Behavior Clinical Trial

Official title:

Using Personalized Letters and Emails to Increase Health Insurance Take-up and Improve Plan Choice Quality in California's ACA Marketplace

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05216458
• Other study ID #: 05272021
• Status: Completed
• Phase: N/A
• Start date: May 27, 2021
• Est. completion date: August 31, 2021

Study information

• Verified date: January 2022
• Source: Office of Evaluation Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

With the passage of the American Rescue Plan (ARP) in March 2021, more consumers than ever before are now eligible for $0 -- or $1 per member per month (PMPM) in Marketplaces that include abortion coverage -- health insurance coverage across the ACA Marketplaces. But many individuals may not be aware of the new subsidies, or of their eligibility for Cost-Sharing Reduction (CSR) Silver plans. This project's goal is to examine whether personalized letters and email reminders can increase health insurance enrollment, CSR Silver take-up and $1 PMPM coverage.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44000
• Est. completion date: August 31, 2021
• Est. primary completion date: August 31, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Submitted a Covered California application for the 2021 coverage year and found eligible for a $1 PMPM Enhanced Silver 94 plan

Exclusion Criteria:

-

Related Conditions & MeSH terms

• Health Behavior

Intervention

Behavioral:
• Emails and letter intervention
Emails and letters for households assigned to the treatment group
• Control group
No outreach during the intervention period.

Locations

Country	Name	City	State
United States	Covered California	Sacramento	California

Sponsors (1)

Lead Sponsor	Collaborator
Office of Evaluation Sciences

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percent of households enrolled in an ACA plan	Percent of households enrolled in an ACA plan based on Covered California administrative data	Three months
Primary	Percent of households who chose a CSR Silver plan	Percent of households in a CSR Silver plan based on Covered California administrative data	Three months
Primary	Percent of households who enrolled in a $1/month net-of-subsidy premium plan	Percent of households who enrolled in a $1/month net-of-subsidy premium plan based on Covered California administrative data	Three months
Secondary	Percent of households who logged into their online account	Percent of households who logged into their online account based on Covered California administrative data	Three months