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

Conditions

• Outreach Intervention

Eligibility Criteria

Sex

ALL

Age

N/A - N/A

Healthy Volunteers

Not accepted

Interventions

• Informational flyer — 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
• Modified eligibility notice with plan information — 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

Study Details

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.

Key Dates

Start date

Mar 25, 2024

Status verified

Nov 2024

Primary completion

Dec 31, 2026

Completion

Dec 31, 2028

Study Design

Enrollment

30,000 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• No Intervention: Control group
  A control group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage.
• Experimental: 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.
• Experimental: 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.

Primary Outcome Measure

Enrollment [ Time Frame: within calendar year since the loss of Medicaid ]

Locations (1)

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