Increasing Health Insurance Enrollment Among Uninsured Americans
NCT ID: NCT05010395
Last Updated: 2021-08-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
COMPLETED
NA
811795 participants
INTERVENTIONAL
2015-01-15
2015-06-01
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Methods to Improve Preventative Care Uptake
NCT03685981
Improving Health Insurance Literacy Among Utah's Hispanic Population
NCT04823975
Using Emails and Personalized Phone Calls to Increase Affordable Care Act Marketplace Enrollment Among Households Losing Medicaid
NCT05327712
A Partnership Approach to Enhance Health Care Literacy
NCT02915003
Incentives for Primary Care Use in a Safety Net Setting
NCT02922855
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
To evaluate the effect of the letters, the team used a randomized controlled trial.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
Control
Individuals in this arm did not receive a letter.
No interventions assigned to this group
Arm 1: Basic Letter
Individuals received a letter with information about the benefits of enrolling, the February 15th sign-up deadline, the HealthCare.gov website, and the call center phone number.
Letter intervention
Letter intervention
Arm 2: Action
Individuals in this arm received a letter that emphasized only minimal marginal effort is required; and used adjectives and verbs connoting action (e.g., "almost done," "quick," "act now," and "fast").
Letter intervention
Letter intervention
Arm 3: Action, Implementation
Individuals in this arm received a letter similar to Arm 2, but with the addition of a calendar that draws attention to the February 15th deadline; and provided fill-in blanks in which the recipient can write the planned month, day, and time when they intend to enroll.
Letter intervention
Letter intervention
Arm 4: Action, Implementation, Picture
Individuals in this arm received a letter similar to Arms 2 and 3, but with the addition of an image of then HealthCare.gov Chief Executive Officer Kevin Counihan
Letter intervention
Letter intervention
Arm 5: Norm
Individuals in this arm received a letter that included the following social norm sentence: "Americans are enrolling but you haven't joined them."
Letter intervention
Letter intervention
Arm 6: Norm, Pledge
Individuals in this arm received a letter that included a statement, to be checked in agreement, that "I pledge to Get Covered at Healthcare.gov."
Letter intervention
Letter intervention
Arm 7: Loss Aversion
Individuals in this arm received a letter that warned "You risk paying a fee of $325 or 2% of your income-whichever is higher."
Letter intervention
Letter intervention
Arm 8: Kitchen Sink
Individuals in this arm received a letter that includes all behavioral dynamics except for the pledge (due to space limitations).
Letter intervention
Letter intervention
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
Letter intervention
Letter intervention
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
Exclusion Criteria
This intervention was a program evaluation and did not go through Human Subjects Protection Review.
ALL
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
Office of Evaluation Sciences
FED
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
David Yokum
Director of The Policy Lab
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
David Yokum, PhD
Role: PRINCIPAL_INVESTIGATOR
Brown University
References
Explore related publications, articles, or registry entries linked to this study.
Yokum D, Hopkins DJ, Feher A, Safran E, Peck J. Effectiveness of Behaviorally Informed Letters on Health Insurance Marketplace Enrollment: A Randomized Clinical Trial. JAMA Health Forum. 2022 Mar 4;3(3):e220034. doi: 10.1001/jamahealthforum.2022.0034. eCollection 2022 Mar.
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
02152015
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.