Phone Outreach Nudges Among Individuals Losing Medicaid Coverage

Study Results

Results pending

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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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

60045 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-11-01

Brief Summary

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In May 2023, Covered California, California's ACA marketplace, implemented its automatic enrollment program for individuals losing Medicaid coverage, as defined by Senate Bill 260. If individuals are found eligible for subsidized marketplace coverage, individuals will be automatically enrolled in the lowest cost silver plan available to them, but individuals must still take action to confirm their plan or pay their first month's premium. To identify whether the phone outreach is the effective outreach strategy to increase take-up in this population, Covered California implemented this intervention. The results of this evaluation will inform operational and budgeting decisions.

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Detailed Description

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Conditions

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Behavioral Economics Health Insurance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Control Group without a phone call

Control Group was assigned to receive no phone outreach

Group Type EXPERIMENTAL

Standard Notice

Intervention Type BEHAVIORAL

Standard notification letter without phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act

Treatment Group with a phone call

Treatment group was assigned to receive a phone call from Covered California call center

Group Type EXPERIMENTAL

Phone Outreach

Intervention Type BEHAVIORAL

Phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act

Interventions

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Phone Outreach

Phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act

Intervention Type BEHAVIORAL

Standard Notice

Standard notification letter without phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Lost Medi-Cal (California's Medicaid coverage) in July 2023-June 2024
* Auto-enrolled into lowest cost silver plan with Covered California as per Senate Bill 260 and have not opted-in (effectuated) into the coverage
* Have a valid phone number on the health insurance application
* Do not have a delegated agent to their case
* Still have Covered California Program eligibility, not reverted back to Medi-Cal coverage
* Have English or Spanish as preferred speaking language

Eligible Sex

ALL

Accepts Healthy Volunteers

No