Interventions to Increase Affordable Care Act Marketplace Enrollment: A Systematic Review and Meta-Analysis.
Over 10 million uninsured individuals are eligible for subsidized health insurance coverage through the Affordable Care Act (ACA) marketplaces, and millions more were projected to become eligible with the end of the federal COVID-19 Public Health Emergency in 2023. Individual studies on behaviorally...
| Publicado en: | Population Health Management Vol. 27; no. 5; pp. 327 - 338 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180405351&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180405351 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19427891 8765 jtl: Population Health Management issn: 19427891 maglogo: N pubinfo: dt: Oct2024 vid: 27 iid: 5 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 180405351 180405351 180405351 10.1089/pop.2024.0091 180405351 ppf: 327 ppct: 11 formats: tig: atl: Interventions to Increase Affordable Care Act Marketplace Enrollment: A Systematic Review and Meta-Analysis. aug: au: Martin, Lizzie Feher, Andrew Schultz, William Safran, Elana Cohen, Alison K. affil: Office of Evaluation Sciences, U.S. General Services Administration, Washington, District of Columbia, USA. sug: subj: Health Insurance Exchanges Government Programs Information Resources Program Evaluation Human Systematic Review Meta Analysis Descriptive Statistics PubMed CINAHL Database Confidence Intervals Effect Size Policy Making Patient Protection and Affordable Care Act Checklists Health Care Costs Learning Support, Psychosocial Medically Uninsured COVID-19 Pandemic ab: Over 10 million uninsured individuals are eligible for subsidized health insurance coverage through the Affordable Care Act (ACA) marketplaces, and millions more were projected to become eligible with the end of the federal COVID-19 Public Health Emergency in 2023. Individual studies on behaviorally informed interventions designed to encourage enrollment suggest that some are more effective than others. This study summarizes evidence on the efficacy of these interventions and suggests which administrative burdens might be most relevant for potential enrollees. Published and unpublished studies were identified through a systematic review of studies assessing the impact of behaviorally informed interventions on ACA marketplace enrollment from 2014 to 2022. Thirty-four studies comprising over 18 million participants were included (32 randomized controlled trials and 2 quasiexperimental studies). At the time of data extraction, 8 were published. Twenty-seven of the studies qualified for inclusion in a meta-analysis, which found that the average rate of enrollment was about 1 percentage point higher for those who received an intervention (0.009, P < 0.001), a 24% increase relative to control households; for every 1000 people who receive an intervention, that would correspond to about 9 additional enrollees. When stratifying by intervention intensity, support-based interventions increased enrollment by 2 percentage points (0.020, P = 0.004), while information-based interventions increased enrollment by 0.6 percentage points (0.006, P < 0.001). The meta-analysis found that behaviorally informed interventions can increase ACA marketplace enrollment. Interventions aimed at alleviating compliance costs by providing enrollment support were about three times as effective as information alone. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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