Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up

Обзор

Facilitated enrollment offers a potential solution to some administrative burdens and choice frictions that may produce incomplete take-up of marketplace coverage. Because Covered California, California's ACA individual marketplace, and Medi-Cal, California's Medicaid program, share an eligibility system, Covered California has the ability to identify individuals who are eligible for marketplace coverage upon losing Medicaid eligibility. This evaluation will compare the effectiveness of facilitated enrollment strategies, including personalized plan pre-selection and personalized quotes of net premiums, to other enhanced, but general outreach tactics, on marketplace take-up among individuals losing Medi-Cal coverage.

Вмешательства

• Поведенческое Informational flyer
  In addition to a standard eligibility notice informing participants of their eligibility for marketplace coverage, they receive an informational flyer describing what Covered California is, the availability of financial assistance, and information on benefit design and private insurance terminology, such as deductibles and copays
• Поведенческое Modified eligibility notice with plan information
  a modified eligibility notice that includes information on the pre-selected lowest-cost silver health insurance plan with a personalized quote for their net premium amount in addition to the informational flyer and instead of a standard eligibility notice

Первичные конечные точки

• Enrollment [Срок оценки: within calendar year since the loss of Medicaid]

Вторичные конечные точки (8)

• Tenure [Срок оценки: within 1-2 years after treatment assignment]
• Uninsured [Срок оценки: within 1-2 years from the treatment assignment]
• Consumer engagement [Срок оценки: within 90 days from the treatment assignment]
• Office visit [Срок оценки: during 1-2 years since the treatment assignment]
• Prescription filled [Срок оценки: during 1-2 years since the treatment assignment]
• Emergency room visit [Срок оценки: during 1-2 years since the treatment assignment]
• Hospital admission [Срок оценки: 1-2 years before and during 1-2 years after the treatment assignment]
• Out-of-pocket health care spending [Срок оценки: during 1-2 years since the treatment assignment]

Критерии участия

Критерии включения

• Individual in a single-member household
• Discontinued from Medi-Cal
• Eligible for Covered California program
• Ineligible for APTCs on initial application
• Did not attest to planning to file taxes within their Covered California application

Критерии исключения

• Consumer case is no longer active within the application system
• Consumer is already actively enrolled in a marketplace plan
• Consumer has already restored Medi-Cal eligibility
• A consumer's Special Enrollment Period has ended
• Consumer is no longer listed as a single-member household
• Consumer was procedurally denied from Medi-Cal coverage due to no response
• Consumers has a MAGI Medi-Cal income less than 138% of the Federal Poverty Level (FPL)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• Covered California — Sacramento

Идентификаторы

NCT: NCT06709794 · CCA-MAPS-2024

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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