Effect of Email Nudges on Plan Switching and Healthcare Utilization Among Unemployment Insurance Recipients
NCT ID: NCT05891418
Last Updated: 2023-06-06
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
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COMPLETED
NA
42470 participants
INTERVENTIONAL
2021-06-25
2021-12-31
Brief Summary
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The ARP also provides additional PTC and cost-sharing reduction (CSR) benefits to eligible marketplace enrollees who report receiving unemployment insurance benefits (UIB) for at least one week in 2021. Under the law, for 2021 only, Covered California consumers will have their household income level treated as if it were at 138.1 percent of the federal poverty level (FPL), regardless of their projected annual income, which will make them eligible for a Silver 94 plan, and which offers the greatest value on cost-sharing benefits.
But in order to access those cost-sharing benefits, households must be in silver tier plans, but over 40,000 were not. This project's goal is to assess the effects of an informational email on plan switching into Cost Sharing Reduction Silver plans and downstream healthcare utilization.
The project's research design is a randomized intervention among approximately 42,500 enrolled households with an email address in non-silver tier plans. The investigators randomly assigned to either two informational emails or to a no email control group. The investigators then collected administrative data to examine plan switching behavior and healthcare utilization among households in the study.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Control Group with a standard eligibility notice
Control group was assigned to receive no email outreach in June and July beyond an eligibility redetermination notice.
Standard notice of eligibility determination
No extra outreach during intervention period.
Treatment group with a standard eligibility notice and assigned two email nudges
Assigned to receive an eligibility redetermination notice along with two informational emails about the benefits of Cost-Sharing Reduction Silver plans.
Two informational emails with plan information
Informational emails about the benefits of Cost-Sharing Reduction Silver plans.
Interventions
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Two informational emails with plan information
Informational emails about the benefits of Cost-Sharing Reduction Silver plans.
Standard notice of eligibility determination
No extra outreach during intervention period.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
0 Years
74 Years
ALL
Yes
Sponsors
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Office of Evaluation Sciences
FED
Responsible Party
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Andrew Feher
Research Scientist
Principal Investigators
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Andrew Feher, PhD
Role: PRINCIPAL_INVESTIGATOR
Covered California
Locations
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Covered California
Sacramento, California, United States
Countries
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References
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Lovchikova M, Feher A, Lian L. Health Plan Switching and Health Care Utilization: A Randomized Clinical Trial. JAMA Health Forum. 2024 Mar 1;5(3):e240324. doi: 10.1001/jamahealthforum.2024.0324.
Provided Documents
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Document Type: Statistical Analysis Plan
Other Identifiers
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022023
Identifier Type: -
Identifier Source: org_study_id
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