Ignite Creation Date:
2025-12-25 @ 1:34 AM
Ignite Modification Date:
2025-12-26 @ 1:07 AM
Study NCT ID:
NCT06709794
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2024-11-29
First Post:
2024-11-18
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2024-05-02', 'size': 253294, 'label': 'Study Protocol and Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'Prot_SAP_000.pdf', 'typeAbbrev': 'Prot_SAP', 'uploadDate': '2024-11-15T01:03', 'hasProtocol': True}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER']}, 'primaryPurpose': 'HEALTH_SERVICES_RESEARCH', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 30000}}, 'statusModule': {'overallStatus': 'ENROLLING_BY_INVITATION', 'startDateStruct': {'date': '2024-03-25', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2024-11', 'completionDateStruct': {'date': '2028-12-31', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2024-11-25', 'studyFirstSubmitDate': '2024-11-18', 'studyFirstSubmitQcDate': '2024-11-25', 'lastUpdatePostDateStruct': {'date': '2024-11-29', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2024-11-29', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2026-12-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Enrollment', 'timeFrame': 'within calendar year since the loss of Medicaid', 'description': 'a binary indicator for whether a consumer has at least one month of effectuated coverage a Covered California plan that started within the 90 days of their Special Enrollment Period (SEP) following loss of Medi-Cal coverage'}], 'secondaryOutcomes': [{'measure': 'Tenure', 'timeFrame': 'within 1-2 years after treatment assignment', 'description': 'Tenure with Covered California (measured in months)'}, {'measure': 'Uninsured', 'timeFrame': 'within 1-2 years from the treatment assignment', 'description': 'A binary indicator for whether someone self-reported being uninsured while filing their taxes;'}, {'measure': 'Consumer engagement', 'timeFrame': 'within 90 days from the treatment assignment', 'description': 'A binary indicator for consumer engagement including calls to service center, creation of and logins to user account, plan shopping on the website, agent delegation after eligibility determination;'}, {'measure': 'Office visit', 'timeFrame': 'during 1-2 years since the treatment assignment', 'description': 'A binary indicator for whether someone had an office visit to the medical practitioner during 1-2 years since the intervention;'}, {'measure': 'Prescription filled', 'timeFrame': 'during 1-2 years since the treatment assignment', 'description': 'A binary indicator for whether someone had a prescription drug fill during 1-2 years since the intervention;'}, {'measure': 'Emergency room visit', 'timeFrame': 'during 1-2 years since the treatment assignment', 'description': 'A binary indicator for whether someone had an emergency room or department visit during 1-2 years since the intervention'}, {'measure': 'Hospital admission', 'timeFrame': '1-2 years before and during 1-2 years after the treatment assignment', 'description': 'A binary indicator for whether someone had a hospital admission 1-2 years before and during 1-2 years since the intervention'}, {'measure': 'Out-of-pocket health care spending', 'timeFrame': 'during 1-2 years since the treatment assignment', 'description': 'Total out-of-pocket spending for the 1-2 years since the intervention'}]}, 'oversightModule': {'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Outreach Intervention']}, 'descriptionModule': {'briefSummary': "Facilitated enrollment offers a potential solution to some administrative burdens and choice frictions that may produce incomplete take-up of marketplace coverage. Because Covered California, California's ACA individual marketplace, and Medi-Cal, California's Medicaid program, share an eligibility system, Covered California has the ability to identify individuals who are eligible for marketplace coverage upon losing Medicaid eligibility.\n\nThis evaluation will compare the effectiveness of facilitated enrollment strategies, including personalized plan pre-selection and personalized quotes of net premiums, to other enhanced, but general outreach tactics, on marketplace take-up among individuals losing Medi-Cal coverage."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Individual in a single-member household\n* Discontinued from Medi-Cal\n* Eligible for Covered California program\n* Ineligible for APTCs on initial application\n* Did not attest to planning to file taxes within their Covered California application\n\nExclusion Criteria:\n\n* Consumer case is no longer active within the application system\n* Consumer is already actively enrolled in a marketplace plan\n* Consumer has already restored Medi-Cal eligibility\n* A consumer's Special Enrollment Period has ended\n* Consumer is no longer listed as a single-member household\n* Consumer was procedurally denied from Medi-Cal coverage due to no response\n* Consumers has a MAGI Medi-Cal income less than 138% of the Federal Poverty Level (FPL)"}, 'identificationModule': {'nctId': 'NCT06709794', 'acronym': 'MAPS', 'briefTitle': 'Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up', 'organization': {'class': 'OTHER_GOV', 'fullName': 'Covered California'}, 'officialTitle': 'Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up', 'orgStudyIdInfo': {'id': 'CCA-MAPS-2024'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'NO_INTERVENTION', 'label': 'Control group', 'description': 'A control group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage.'}, {'type': 'EXPERIMENTAL', 'label': 'Enhanced Outreach', 'description': 'A treatment group that receives a standard eligibility notice informing them of their eligibility for marketplace coverage and an informational flyer describing what Covered California is, the availability of financial assistance, and information on benefit design and private insurance terminology, such as deductibles and copays.', 'interventionNames': ['Behavioral: Informational flyer']}, {'type': 'EXPERIMENTAL', 'label': 'Pre-Selected Plan', 'description': 'A treatment group that receives a modified eligibility notice that includes information on the pre-selected lowest-cost silver health insurance plan with a personalized quote for their net premium amount, as well as the informational flyer.', 'interventionNames': ['Behavioral: Modified eligibility notice with plan information']}], 'interventions': [{'name': 'Informational flyer', 'type': 'BEHAVIORAL', 'description': 'In addition to a standard eligibility notice informing participants of their eligibility for marketplace coverage, they receive an informational flyer describing what Covered California is, the availability of financial assistance, and information on benefit design and private insurance terminology, such as deductibles and copays', 'armGroupLabels': ['Enhanced Outreach']}, {'name': 'Modified eligibility notice with plan information', 'type': 'BEHAVIORAL', 'description': 'a modified eligibility notice that includes information on the pre-selected lowest-cost silver health insurance plan with a personalized quote for their net premium amount in addition to the informational flyer and instead of a standard eligibility notice', 'armGroupLabels': ['Pre-Selected Plan']}]}, 'contactsLocationsModule': {'locations': [{'zip': '95620', 'city': 'Sacramento', 'state': 'California', 'country': 'United States', 'facility': 'Covered California', 'geoPoint': {'lat': 38.58157, 'lon': -121.4944}}]}, 'ipdSharingStatementModule': {'ipdSharing': 'UNDECIDED'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Covered California', 'class': 'OTHER_GOV'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Assistant Deputy Director, Evaluation & Research', 'investigatorFullName': 'Emory Wolf', 'investigatorAffiliation': 'Covered California'}}}}