Outreach InterventionMAPSNCT06709794
Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up
A study testing Informational flyer and Modified eligibility notice with plan information in people with Outreach Intervention, run by Covered California at 1 site in United States.
Trial summary
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… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Outreach Intervention
- What is being tested?
- Informational flyer and Modified eligibility notice with plan information
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30,000 participants
- Where
- 1 siteUnited States
- Study dates
- 25 Mar 2024to 31 Dec 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- 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
Who cannot join
- Consumer case is no longer active within the application system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)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
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.
- Conditions
- Outreach Intervention
- Being tested
- Informational flyer, Modified eligibility notice with plan information
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Informational flyerBehavioural
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 informationBehavioural
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 group | Role | What they receive |
|---|---|---|
| Control group | No intervention | A control group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage. |
| Enhanced Outreach | Experimental | 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. Receives: Behavioral: Informational flyer |
| Pre-Selected Plan | Experimental | 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. Receives: Behavioral: Modified eligibility notice with plan information |
What is being measured
The primary outcome is the main question the study is designed to answer.
Enrollment
a binary indicator for whether a consumer has at least one month of effectuated coverage a Covered California plan that started within the 90 days of their Special Enrollment Period (SEP) following loss of Medi-Cal coverage
Measured: within calendar year since the loss of Medicaid
Secondary outcomes (8)
Tenure
Tenure with Covered California (measured in months)
Measured: within 1-2 years after treatment assignment
Uninsured
A binary indicator for whether someone self-reported being uninsured while filing their taxes;
Measured: within 1-2 years from the treatment assignment
Consumer engagement
A binary indicator for consumer engagement including calls to service center, creation of and logins to user account, plan shopping on the website, agent delegation after eligibility determination;
Measured: within 90 days from the treatment assignment
Office visit
A binary indicator for whether someone had an office visit to the medical practitioner during 1-2 years since the intervention;
Measured: during 1-2 years since the treatment assignment
Prescription filled
A binary indicator for whether someone had a prescription drug fill during 1-2 years since the intervention;
Measured: during 1-2 years since the treatment assignment
Emergency room visit
A binary indicator for whether someone had an emergency room or department visit during 1-2 years since the intervention
Measured: during 1-2 years since the treatment assignment
Hospital admission
A binary indicator for whether someone had a hospital admission 1-2 years before and during 1-2 years since the intervention
Measured: 1-2 years before and during 1-2 years after the treatment assignment
Out-of-pocket health care spending
Total out-of-pocket spending for the 1-2 years since the intervention
Measured: during 1-2 years since the treatment assignment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2024
- Study start25 Mar 2024
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Outreach InterventionStudies 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
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 30,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Covered California
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Emory Wolf, Covered California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06709794
- Sponsor's protocol ID
- CCA-MAPS-2024
- Acronym
- MAPS
- Status last verified
- Nov 2024
- First submitted
- 18 Nov 2024
- Last updated
- 29 Nov 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up
- ClinicalTrials.gov ID
- NCT06709794
- Acronym / sponsor ID
- MAPS / CCA-MAPS-2024
- Conditions
- Outreach Intervention
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 30,000 participants (estimated)
- Lead sponsor
- Covered CaliforniaOther government
- Study start
- 25 Mar 2024 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2028 (estimated)
- First posted
- 29 Nov 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.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, care provider)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Control group | No intervention | –A control group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage. |
| Enhanced Outreach | Experimental | Behavioral: Informational flyerA 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. |
| Pre-Selected Plan | Experimental | Behavioral: Modified eligibility notice with plan informationA 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. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (7 listed)
- 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
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 |
|---|---|---|
| Informational flyerIn 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 | Behavioural | Enhanced Outreach |
| Modified eligibility notice with plan informationa 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 | Behavioural | Pre-Selected Plan |
Primary outcome
Enrollment
Time frame: within calendar year since the loss of Medicaid
a binary indicator for whether a consumer has at least one month of effectuated coverage a Covered California plan that started within the 90 days of their Special Enrollment Period (SEP) following loss of Medi-Cal coverage
8 secondary outcomes
Tenure
Time frame: within 1-2 years after treatment assignment
Uninsured
Time frame: within 1-2 years from the treatment assignment
Consumer engagement
Time frame: within 90 days from the treatment assignment
Office visit
Time frame: during 1-2 years since the treatment assignment
Prescription filled
Time frame: during 1-2 years since the treatment assignment
Emergency room visit
Time frame: during 1-2 years since the treatment assignment
Hospital admission
Time frame: 1-2 years before and during 1-2 years after the treatment assignment
Out-of-pocket health care spending
Time frame: during 1-2 years since the treatment assignment
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2024.
- Individual participant dataSharing planned: Undecided
Related trials for Outreach Intervention
Not yet recruitingObservational study
Disease Intervention Specialist (DIS) for SUD
Substance Use Disorder (SUD), Opioid Use Disorder
Not yet recruiting
Community-based Outreach and Navigation for Nurse-led Engagement in HIV Care and Treatment
HIV Infections, HIV Prevention
Recruiting
Advocacy, Partnership, Outreach, and Yielding Optimized Care for Oncology Patients
Colorectal Cancer
Not yet recruiting
Mailed FIT-Based Outreach Interventions
Colorectal Cancer
Recruiting
Pilot Testing of the emPath Platform to Improve Medication for Opioid Use Disorder (MOUD) Linkage and Retention Among Adults With Opioid Use Disorder in Durham, North Carolina
Opioid Use Disorder, Digital Health Intervention
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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Informational flyer and Modified eligibility notice with plan information in people with Outreach Intervention, 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 5 inclusion and 7 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: enrolling by invitation, as of the sponsor's last update on 29 Nov 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?
This study is still under way. Results are not available in the source record yet.
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?
Enrollment (time frame: within calendar year since the loss of Medicaid). 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 29 Nov 2024.