Increasing Health Insurance Enrollment Among Uninsured Americans

This randomized evaluation used behaviorally-informed letters to increase health insurance take-up on the Affordable Care Act (ACA) Marketplaces.

Completed

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Key information

Conditions

Health Behavior Behavior

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

During Open Enrollment Periods for the ACA Marketplaces, qualifying individuals can purchase health insurance plans through the Federal Health Insurance Marketplace (FHIM). As of early February 2015, many people had visited HealthCare.gov and started an online account, but not yet selected a plan. The Department of Health and Human Services (HHS), in collaboration with the Office of Evaluation Sciences (OES), developed and sent letters to assist these individuals with completing their enrollment before the deadline.

To evaluate the effect of the letters, the team used a randomized controlled trial.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Those with an English language preference; those who had not enrolled in an ACA plan as of early February 2015

Exclusion criteria

Those with a Spanish language preference

This intervention was a program evaluation and did not go through Human Subjects Protection Review.

Treatment and study plan

Letter intervention

Behavioral

Letter intervention

Primary outcomes

Percent of individuals enrolling in an ACA plan by the end of the Open Enrollment period.

Time frame: Two weeks

Percent of individuals enrolling in an ACA plan during the observation period.

Sponsors and collaborators

Lead sponsor

Office of Evaluation Sciences

Fed

Registry information

Important dates

Study start: 2015
Primary completion: 2015
Study completion: 2015
First posted: Aug 18, 2021
Registry last updated: Aug 18, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed