Nudging Leads Consumers In Colorado To Shop But Not Switch ACA Marketplace Plans.

The Affordable Care Act (ACA) dramatically expanded the use of regulated marketplaces in health insurance, but consumers often fail to shop for plans during open enrollment periods. Typically these consumers are automatically reenrolled in their old plans, which potentially exposes them to unexpecte...

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Publicado en:Health Affairs Vol. 36; no. 2; pp. 311 - 320
Autores principales: Marzilli Ericson, Keith M., Kingsdale, Jon, Layton, Tim, Sacarny, Adam
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Health Affairs Publishing, LLC Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Health Affairs Publishing, LLC
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        atl: Nudging Leads Consumers In Colorado To Shop But Not Switch ACA Marketplace Plans.
      aug:
        au:
          Marzilli Ericson, Keith M.
          Kingsdale, Jon
          Layton, Tim
          Sacarny, Adam
        affil: Assistant professor of markets, public policy, and law in the Questrom School of Business at Boston University, in Massachusetts
      sug:
        subj:
          Patient Protection and Affordable Care Act
          Policy Making Psychosocial Factors
          Health Insurance Exchanges
          Motivation
          Colorado
          Email
          Health Care Reform
          Income
          Insurance Coverage
          Insurance, Health
          United States
          Consumer Attitudes United States
          Health Benefit Plans, Employee
          Health Maintenance Organizations
          Preferred Provider Organizations
          Health Care Costs
          Confidence Intervals
          P-Value
          Randomized Controlled Trials
          Funding Source
      ab: The Affordable Care Act (ACA) dramatically expanded the use of regulated marketplaces in health insurance, but consumers often fail to shop for plans during open enrollment periods. Typically these consumers are automatically reenrolled in their old plans, which potentially exposes them to unexpected increases in their insurance premiums and cost sharing. We conducted a randomized intervention to encourage enrollees in an ACA Marketplace to shop for plans. We tested the effect of letters and e-mails with personalized information about the savings on insurance premiums that they could realize from switching plans and the effect of generic communications that simply emphasized the possibility of saving. The personalized and generic messages both increased shopping on the Marketplace's website by 23 percent, but neither type of message had a significant effect on plan switching. These findings show that simple "nudges" with even generic information can promote shopping in health insurance marketplaces, but whether they can lead to switching remains an open question.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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