Email Nudges Increased Eligibility Verification And Subsidy Receipt In California's ACA Marketplace.
In the Affordable Care Act (ACA) Marketplaces, enrollees must periodically demonstrate their eligibility to receive income-linked health insurance premium subsidies. Marketplaces can verify eligibility using existing records, but only with consumers' consent, which must be renewed at specified times...
| Publicado en: | Health Affairs Vol. 43; no. 9; pp. 1235 - 1244 |
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| Autores principales: | , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Sep2024
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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=190587773&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190587773 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Sep2024 vid: 43 iid: 9 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190587773 190587773 190587773 10.1377/hlthaff.2023.01524 190587773 ppf: 1235 ppct: 9 formats: tig: atl: Email Nudges Increased Eligibility Verification And Subsidy Receipt In California's ACA Marketplace. aug: au: Myerson, Rebecca Feher, Andrew affil: University of Wisconsin--Madison, Madison, Wisconsin sug: subj: Eligibility Determination Financing, Government Health Insurance Exchanges Evaluation Human Male Female Middle Age Randomized Controlled Trials Random Assignment California Insurance Coverage Consent Patient Protection and Affordable Care Act Health Insurance Portability and Accountability Act Insurance, Health, Reimbursement Organizational Change Health Services Accessibility Insurance, Health Administration Race Factors Ethnic Groups Communication Health Information Age Factors Sex Factors Regression Income Descriptive Statistics Data Analysis Software Middle Aged: 45-64 years Male Female ab: In the Affordable Care Act (ACA) Marketplaces, enrollees must periodically demonstrate their eligibility to receive income-linked health insurance premium subsidies. Marketplaces can verify eligibility using existing records, but only with consumers' consent, which must be renewed at specified times. In a randomized experiment in September 2020, we tested the effect of email nudges reminding consumers to provide consent for verification of their continued eligibility for premium subsidies in California's ACA Marketplace. More than 20,000 households that had applied for subsidies but whose consent for eligibility verification would soon expire were sent one, two, or three emails reminding them to renew consent. Sending three emails increased consent updates by 1.9 percentage points (3.2 percent) and increased receipt of subsidies by 2.0 percentage points (4.0 percent). However, nearly 40 percent of households receiving three emails did not update their consent by the end of the open enrollment period, thus preventing their continued receipt of subsidies. To improve the affordability of Marketplace coverage, new policies and structural changes may be needed to reduce administrative barriers that can inhibit access to subsidies. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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