Ignite Creation Date:
2025-12-25 @ 5:03 AM
Ignite Modification Date:
2025-12-26 @ 4:05 AM
Study NCT ID:
NCT05891418
Status:
COMPLETED
Last Update Posted:
2023-06-06
First Post:
2023-02-14
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Effect of Email Nudges on Plan Switching and Healthcare Utilization Among Unemployment Insurance Recipients
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D015438', 'term': 'Health Behavior'}], 'ancestors': [{'id': 'D001519', 'term': 'Behavior'}]}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2023-05-23', 'size': 302476, 'label': 'Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'SAP_000.pdf', 'typeAbbrev': 'SAP', 'uploadDate': '2023-06-02T12:21', 'hasProtocol': False}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['PARTICIPANT']}, 'primaryPurpose': 'OTHER', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 42470}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2021-06-25', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2023-06', 'completionDateStruct': {'date': '2021-12-31', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2023-06-02', 'studyFirstSubmitDate': '2023-02-14', 'studyFirstSubmitQcDate': '2023-06-02', 'lastUpdatePostDateStruct': {'date': '2023-06-06', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2023-06-06', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2021-12-31', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Cost-Sharing Reduction Silver Enrollment', 'timeFrame': '1 month', 'description': 'Percent of households enrolled in a Cost-Sharing Reduction Silver Plan'}, {'measure': 'Office Visit', 'timeFrame': '6 months', 'description': 'Percent of households with an office visit'}, {'measure': 'Prescription drug use', 'timeFrame': '6 months', 'description': 'Percent of households with a prescription drug fill'}, {'measure': 'Emergency room visit', 'timeFrame': '6 months', 'description': 'Percent of households with an emergency room visit'}, {'measure': 'Hospitalization', 'timeFrame': '6 months', 'description': 'Percent of households with a hospitalization'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Affordable Care Act', 'randomized controlled trial', 'nudge', 'American Rescue Plan', 'unemployment insurance'], 'conditions': ['Health Behavior']}, 'referencesModule': {'references': [{'pmid': '38551588', 'type': 'DERIVED', 'citation': 'Lovchikova M, Feher A, Lian L. Health Plan Switching and Health Care Utilization: A Randomized Clinical Trial. JAMA Health Forum. 2024 Mar 1;5(3):e240324. doi: 10.1001/jamahealthforum.2024.0324.'}]}, 'descriptionModule': {'briefSummary': "In March 2021, President Biden signed into law the American Rescue Plan Act of 2021 (ARP), a landmark federal economic relief and stimulus package designed to provide support to Americans hit by the economic recession brought about by the COVID-19 global pandemic. The law provides increased federal premium tax credits (PTC), and ensures that consumers will pay no more than 8.5 percent of household income on health insurance premiums in 2021 and 2022, if enrolled through an Affordable Care Act marketplace like Covered California.\n\nThe ARP also provides additional PTC and cost-sharing reduction (CSR) benefits to eligible marketplace enrollees who report receiving unemployment insurance benefits (UIB) for at least one week in 2021. Under the law, for 2021 only, Covered California consumers will have their household income level treated as if it were at 138.1 percent of the federal poverty level (FPL), regardless of their projected annual income, which will make them eligible for a Silver 94 plan, and which offers the greatest value on cost-sharing benefits.\n\nBut in order to access those cost-sharing benefits, households must be in silver tier plans, but over 40,000 were not. This project's goal is to assess the effects of an informational email on plan switching into Cost Sharing Reduction Silver plans and downstream healthcare utilization.\n\nThe project's research design is a randomized intervention among approximately 42,500 enrolled households with an email address in non-silver tier plans. The investigators randomly assigned to either two informational emails or to a no email control group. The investigators then collected administrative data to examine plan switching behavior and healthcare utilization among households in the study."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'maximumAge': '74 Years', 'minimumAge': '0 Years', 'healthyVolunteers': True, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Has email address, in a non-silver plan and reported unemployment insurance in 2021\n\nExclusion Criteria:\n\n* In a silver plan, no email address'}, 'identificationModule': {'nctId': 'NCT05891418', 'briefTitle': 'Effect of Email Nudges on Plan Switching and Healthcare Utilization Among Unemployment Insurance Recipients', 'organization': {'class': 'FED', 'fullName': 'Office of Evaluation Sciences'}, 'officialTitle': 'Effect of Email Nudges on Plan Switching and Healthcare Utilization Among Unemployment Insurance Recipients', 'orgStudyIdInfo': {'id': '022023'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Control Group with a standard eligibility notice', 'description': 'Control group was assigned to receive no email outreach in June and July beyond an eligibility redetermination notice.', 'interventionNames': ['Behavioral: Standard notice of eligibility determination']}, {'type': 'EXPERIMENTAL', 'label': 'Treatment group with a standard eligibility notice and assigned two email nudges', 'description': 'Assigned to receive an eligibility redetermination notice along with two informational emails about the benefits of Cost-Sharing Reduction Silver plans.', 'interventionNames': ['Behavioral: Two informational emails with plan information']}], 'interventions': [{'name': 'Two informational emails with plan information', 'type': 'BEHAVIORAL', 'description': 'Informational emails about the benefits of Cost-Sharing Reduction Silver plans.', 'armGroupLabels': ['Treatment group with a standard eligibility notice and assigned two email nudges']}, {'name': 'Standard notice of eligibility determination', 'type': 'BEHAVIORAL', 'description': 'No extra outreach during intervention period.', 'armGroupLabels': ['Control Group with a standard eligibility notice']}]}, 'contactsLocationsModule': {'locations': [{'zip': '95815', 'city': 'Sacramento', 'state': 'California', 'country': 'United States', 'facility': 'Covered California', 'geoPoint': {'lat': 38.58157, 'lon': -121.4944}}], 'overallOfficials': [{'name': 'Andrew Feher, PhD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Covered California'}]}, 'ipdSharingStatementModule': {'infoTypes': ['STUDY_PROTOCOL'], 'timeFrame': 'Data will be available with investigator support upon publication', 'ipdSharing': 'YES', 'description': 'The researchers are committed to sharing as much data as possible for replication, consistent with the privacy and security requirements of the state agency that govern the re-disclosure of the data.', 'accessCriteria': 'Replication data can be accessed via request to the primary investigator upon publication.'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Office of Evaluation Sciences', 'class': 'FED'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Research Scientist', 'investigatorFullName': 'Andrew Feher', 'investigatorAffiliation': 'Office of Evaluation Sciences'}}}}