Comparing The Effects Of Nudges And Automatic Plan Switching On Choice Errors Among Low-Income Marketplace Enrollees.
During the 2022 open enrollment period in California's Affordable Care Act Marketplace, we tested two interventions designed to reduce choice errors among low-income households enrolled in bronze plans that were eligible for zero-premium cost-sharing reduction (CSR) silver plans with more generous b...
| Publicado en: | Health Affairs Vol. 42; no. 7; pp. 1002 - 1011 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Jul2023
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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=190593011&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190593011 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Jul2023 vid: 42 iid: 7 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 190593011 190593011 190593011 10.1377/hlthaff.2022.01672 190593011 ppf: 1002 ppct: 9 formats: tig: atl: Comparing The Effects Of Nudges And Automatic Plan Switching On Choice Errors Among Low-Income Marketplace Enrollees. aug: au: Wolf, Emory Feher, Andrew Ravel, Katie Menashe, Isaac affil: Covered California, Sacramento, California sug: subj: Poverty California Medicare California Socioeconomic Factors California Health Insurance Exchanges California Decision Making California Human Income Health Care Costs Health Services Accessibility Cost Savings Descriptive Statistics Pretest-Posttest Control Group Design Comparative Studies Health Policy Randomized Controlled Trials Random Assignment Quasi-Experimental Studies Writing Insurance, Health Economics California Multivariate Analysis Linear Regression Data Analysis Software ab: During the 2022 open enrollment period in California's Affordable Care Act Marketplace, we tested two interventions designed to reduce choice errors among low-income households enrolled in bronze plans that were eligible for zero-premium cost-sharing reduction (CSR) silver plans with more generous benefits. A randomized controlled trial nudge intervention used letter and email reminders to encourage consumers to switch plans, and a quasi-experimental crosswalk intervention automatically enrolled eligible households from bronze plans into zero-premium CSR silver plans with the same insurers and provider networks. The nudge intervention led to a statistically significant 2.3-percentage-point (26 percent) increase in CSR silver plan take-up relative to the control group, but nearly 90 percent of households remained in nonsilver plans. The automatic crosswalk intervention resulted in an 83.0-percentage-point (822 percent) increase in CSR silver plan take-up compared with the control group, with more than 90 percent of households enrolled in CSR silver plans. Our findings can inform health policy debates on the relative effectiveness of different approaches to reducing choice errors among low-income households in the Affordable Care Act Marketplaces. 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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