Effectiveness of Behaviorally Informed Letters on Health Insurance Marketplace Enrollment: A Randomized Clinical Trial.

ABSTRACT:

Importance

Every year during the open enrollment period, hundreds of thousands of individuals across the Affordable Care Act marketplaces begin the enrollment process but fail to complete it, thereby resulting in coverage gaps or going uninsured.

Objective

To investigate if low-cost ($0.55 per person) letters can increase health insurance enrollment.

Design setting and participants

This intent-to-treat randomized clinical trial was conducted during the final 2 weeks of the 2015 open enrollment period among the 37 states on the HealthCare.gov platform. The trial targeted 744 510 individuals who started the enrollment process but had yet to complete it. Data were analyzed from January through August 2021.

Interventions

Study participants were randomized to either

SUBMITTER: Yokum D 

PROVIDER: S-EPMC8903125 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature