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

NCT ID: NCT06709794

Last Updated: 2024-11-29

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

30000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-25

Study Completion Date

2028-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Outreach Intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Control group

A control group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage.

Group Type NO_INTERVENTION

No interventions assigned to this group

Enhanced Outreach

A treatment group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage and 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.

Group Type EXPERIMENTAL

Informational flyer

Intervention Type BEHAVIORAL

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

Pre-Selected Plan

A treatment group that receives 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, as well as the informational flyer.

Group Type EXPERIMENTAL

Modified eligibility notice with plan information

Intervention Type BEHAVIORAL

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

Interventions

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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

Intervention Type BEHAVIORAL

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

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Covered California

OTHER_GOV

Sponsor Role lead

Responsible Party

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Emory Wolf

Assistant Deputy Director, Evaluation & Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Covered California

Sacramento, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CCA-MAPS-2024

Identifier Type: -

Identifier Source: org_study_id