Behavioral EconomicsNCT06454019
Phone Outreach Nudges Among Individuals Losing Medicaid Coverage
A study testing Phone Outreach and Standard Notice in people with Behavioral Economics and Health Insurance, run by Covered California at 1 site in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Behavioral Economics, Health Insurance
- What is being tested?
- Phone Outreach and Standard Notice
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60,045 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Aug 2023to 1 Nov 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- 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
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluating Impact of Outreach Nudges Among Individuals Losing Medicaid Coverage in California
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.
- Conditions
- Behavioral Economics, Health Insurance
- Being tested
- Phone Outreach, Standard Notice
- Keywords
- Health Insurance, ACA marketplace, Behavioral Economics, Nudge
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Phone OutreachBehavioural
Phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act
Standard NoticeBehavioural
Standard notification letter without phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act
| Study group | Role | What they receive |
|---|---|---|
| Control Group without a phone call | Experimental | Control Group was assigned to receive no phone outreach Receives: Behavioral: Standard Notice |
| Treatment Group with a phone call | Experimental | Treatment group was assigned to receive a phone call from Covered California call center Receives: Behavioral: Phone Outreach |
What is being measured
The primary outcome is the main question the study is designed to answer.
Health Plan Effectuation
A binary indicator for whether a consumer is effectuated into (paid for, opt-in into) Covered California plan, either the plan assigned through the auto-enrollment process, or into another plan chosen by the consumer by the end of the month at which outreach was conducted
Measured: within 30 days from the start date of plan they are auto-enrolled into
Secondary outcomes (7)
Tenure with Covered California (measured in months)
A length of tenure with Covered California plan within calendar year and/or beyond
Measured: measured 1-2 years after the intervention
Office visit
A binary indicator for whether someone had an office visit during 1-2 years since the intervention
Measured: measured 1-2 years after the intervention
Prescriptions filled
A binary indicator for whether someone had a prescription drug fill during 1-2 years since the intervention
Measured: measured 1-2 years after the intervention
Emergency Room Visit
A binary indicator for whether someone had an emergency room visit during 1-2 years since the intervention
Measured: measured 1-2 years after the intervention
Hospital admission
A binary indicator for whether someone had a hospital admission 1-2 years before and 1-2 years after the intervention
Measured: 1-2 years before and after the intervention
Out-of-pocket spending on healthcare services
Total out-of-pocket spending for the 1-2 years since the intervention
Measured: measured 1-2 years after the intervention
Uninsured
A binary indicator for whether someone self-reported being uninsured while filing their taxes
Measured: measured 1-2 years after the intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2024
- Study start1 Aug 2023
- Primary completion1 Sep 2024 (estimated)
- Study completion1 Nov 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Behavioral EconomicsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 60,045 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Covered California
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Marina Lovchikova, Covered California
- Investigators
- Emory Wolf, MPP, Principal investigator, Covered California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06454019
- Sponsor's protocol ID
- SB260-OCC-2023
- Status last verified
- Jun 2024
- First submitted
- 5 Jun 2024
- Last updated
- 12 Jun 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The researchers are committed to sharing as much data as possible for replication, consistent with the privacy and security requirements of the state agency that govern the re-disclosure of the data.
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating Impact of Outreach Nudges Among Individuals Losing Medicaid Coverage in California
- ClinicalTrials.gov ID
- NCT06454019
- Acronym / sponsor ID
- SB260-OCC-2023
- Conditions
- Behavioral Economics, Health Insurance
- Keywords
- Health Insurance, ACA marketplace, Behavioral Economics, Nudge
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60,045 participants (estimated)
- Lead sponsor
- Covered CaliforniaOther government
- Study start
- 1 Aug 2023 (actual)
- Primary completion
- 1 Sep 2024 (estimated)
- Study completion
- 1 Nov 2024 (estimated)
- First posted
- 12 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control Group without a phone call | Experimental | Behavioral: Standard NoticeControl Group was assigned to receive no phone outreach |
| Treatment Group with a phone call | Experimental | Behavioral: Phone OutreachTreatment group was assigned to receive a phone call from Covered California call center |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Phone OutreachPhone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act | Behavioural | Treatment Group with a phone call |
| Standard NoticeStandard notification letter without phone outreach to individuals losing Medicaid and auto-enrolled into Covered California plan to nudge them to act | Behavioural | Control Group without a phone call |
Primary outcome
Health Plan Effectuation
Time frame: within 30 days from the start date of plan they are auto-enrolled into
A binary indicator for whether a consumer is effectuated into (paid for, opt-in into) Covered California plan, either the plan assigned through the auto-enrollment process, or into another plan chosen by the consumer by the end of the month at which outreach was conducted
7 secondary outcomes
Tenure with Covered California (measured in months)
Time frame: measured 1-2 years after the intervention
Office visit
Time frame: measured 1-2 years after the intervention
Prescriptions filled
Time frame: measured 1-2 years after the intervention
Emergency Room Visit
Time frame: measured 1-2 years after the intervention
Hospital admission
Time frame: 1-2 years before and after the intervention
Out-of-pocket spending on healthcare services
Time frame: measured 1-2 years after the intervention
Uninsured
Time frame: measured 1-2 years after the intervention
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2024.
- Individual participant dataSharing planned: Yes. The researchers are committed to sharing as much data as possible for replication, consistent with the privacy and security requirements of the state agency that govern the re-disclosure of the data.
Related trials for Behavioral Economics
Active, not recruiting
Intervention to Address Disparate Mental Health Consequences of COVID-19 Pandemic on Latinx and African Newcomers
Mental Health Issue, Mental Health Disorder
Not yet recruiting
Examining the Relationship Between Ongoing Alcohol Use, Suicidal Thoughts and Behaviors and Related Constructs, and Behavioral Economic Decision-Making.
Alcohol Use Disorder (AUD), Suicidal Ideation
Active, not recruiting
Economic Empowerment and Health Promotion of Uganda Grandmother-caregivers.
Financial Burden, Health Behavior
Not yet recruiting
Penn Family Screening for Familial Hypercholesterolemia (NHLBI R33) Trial 3
Familial Hypercholesterolemia
Not yet recruiting
Small Monetary Incentives for Digital Cognitive Training Adherence in Community-Dwelling Older Adults
Cognitive Decline, Dementia Prevention
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Emory Wolf, MPP principal investigator
Covered California
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Phone Outreach and Standard Notice in people with Behavioral Economics and Health Insurance, run by Covered California at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 12 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Health Plan Effectuation (time frame: within 30 days from the start date of plan they are auto-enrolled into). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2024.