ActionHealthNYC Research Study

Health Services Accessibility Clinical Trial

Official title:

ActionHealthNYC: A Health Care Access Program for the Uninsured

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT02841930
• Other study ID #: NYCDOHMH IRB 16-020
• Status: Active, not recruiting
• Phase: N/A
• Start date: June 1, 2016
• Est. completion date: December 31, 2024

Study information

• Verified date: January 2024
• Source: New York City Department of Health and Mental Hygiene
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The ActionHealthNYC program is a year-long demonstration program to improve access to high quality health care for NYC resident immigrants who do not qualify for public insurance with incomes at or below 200% of the Federal Poverty Level (FPL). The purpose of this study is to determine whether improved access and care coordination services provided through the ActionHealth NYC program allows participants to have easier access to healthcare (particularly primary care and preventive services) than non-participants.

Description:

The ActionHealthNYC program is a year-long demonstration program to improve access to high quality health care for NYC resident immigrants who do not qualify for public insurance with incomes at or below 200% of the Federal Poverty Level (FPL). Our goal in piloting the program and conducting the research study is to understand the following questions:

• For clients participating in the ActionHealthNYC program, do they report having easier access to health care?

• What are the differences in health care utilization for participants in the ActionHealthNYC program and those not in the program?

• Do the participants in the ActionHealthNYC program report fewer barriers to needed care when compared to those not in the program?

• Are the participants in the ActionHealthNYC program more likely to have received preventive services according to the United States Preventive Services Task Force (USPTF) or recommended services for those with a qualifying condition through their medical home?

• How does the likelihood of receiving a new diagnosis compare between the ActionHealthNYC member group and the study group?

• How does emergency department and hospital use compare between the ActionHealthNYC member group and the study group?

We will be conducting a randomized controlled trial (RCT) where we will be enrolling 2,400 people that meet the eligibility criteria and randomizing half into the ActionHealth NYC program. We will be employing a mixed methods approach to address differences between participants randomized to receive enhanced services through ActionHealthNYC (AHNYC) and those receiving usual care, utilizing surveys, secondary data analysis, key informant interviews and participant focus groups.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 2428
• Est. completion date: December 31, 2024
• Est. primary completion date: June 30, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 19 Years and older

Eligibility

Inclusion Criteria:

• New York City residents who are uninsured, 19 and older and

• Not currently eligible for Medicaid, Essential Plan, or

• Not currently eligible for private insurance via federal insurance marketplace subsidies due to their immigration status.

Exclusion Criteria:

• Not a New York City resident

• Currently eligible for Medicaid, Essential Plan or private insurance at state exchange with federal subsidies

• Income above 200% of the federal poverty level (FPL)

Enrollees are required to have the NYC Municipal identification card (IDNYC). If they do not have the card, however, they can obtain it and come back for enrollment.

Related Conditions & MeSH terms

• Health Services Accessibility

Intervention

Other:
• ActionHealth NYC
care coordination, covered preventive services, and standardized costs for ambulatory care

Locations

Country	Name	City	State
United States	New York City Department of Health and Mental Hygiene	Long Island City	New York

Sponsors (7)

Lead Sponsor	Collaborator
New York City Department of Health and Mental Hygiene	American Institutes for Research, New York City Health and Hospitals Corporation, New York City Human Resources Administration, New York City Mayor's Office of Immigrant Affairs, Public Health Solutions, The New York Academy of Medicine

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Improved access to healthcare	e.g. fewer delays in getting needed care	One year
Secondary	Enhanced healthcare utilization	e.g. emergency department care utilization rate	One year
Secondary	Reduced barriers to needed care	e.g. financial barriers	One year
Secondary	Enhanced utilization of preventive services	Utilization of USPSTF recommended services through primary care home	One year
Secondary	Increased number of new diagnoses		One year