Analyzing the Impact of the Now iKnow Health Care Price Transparency Tool
This project aims to assess the impact of a web-based health care cost and quality tool that is being implemented by a health plan for its members. The study will focus on members working for medium to large employers that have more than 90% of employees enrolled in deductible and tiered network health plans. The study will use an interrupted time series (ITS) design that includes random allocation of half of these employers to a study arm that will receive enhanced promotion of the tool and a $500 lottery incentive for its use in order to increase take-up. With these two study groups (a "high-dose" group receiving enhanced promotion and a lottery, and a "low-dose" group receiving routine promotion of the tool), the study will be able to evaluate whether access to a price transparency tool leads to reduced costs and more value-driven member behavior, and whether extra promotion increases take-up.
Members in the high-dose group who use the tool will be eligible to enter a monthly lottery to win a $500 prize during the 12-month intervention period. In addition to the lottery, employers in the high-dose group will receive additional promotional strategies such as a mailing and messages through the plan's member web portal to promote the tool and the lottery, and e-mails and flyers for employers to promote the tool and lottery to employees.
The aims of this project are to: 1) examine take-up of the tool and factors that predict take-up; and 2) to examine the impact of the tool on total and out-of-pocket health care costs and utilization
Studieoversigt
Status
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Massachusetts
-
Wellesley, Massachusetts, Forenede Stater, 02481
- Harvard Pilgrim Health Care
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Health plan members from employers with at least 40 subscribers, of which at least 90% are currently in deductible plans or tiered network plans, and of which at least 80% were in deductible or tiered network plans in the prior year
Exclusion Criteria:
Members in non-group accounts and members in Medicare plans; members in states outside Massachusetts, New Hampshire, or Maine
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: lottery and enhanced promotion of tool
tool users in the intervention arm will be eligible to enter a monthly lottery to win one of two monthly drawings of a $500 gift card, and will receive enhanced promotion of the tool (mailed promotion, promotional message on the member web portal, and promotion through employers to employees)
|
Intervention group is eligible to enter a monthly lottery to win a $500 gift card if they use the tool each month.
Intervention group also receives extra promotion of the tool through mailings, employer outreach, and automated phone calls
|
|
Ingen indgriben: usual promotion of the tool
Routine promotion of the tool through newsletter and on health plan web site
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
mean per-member-per-month total health care costs
Tidsramme: monthly for 12 months
|
employer level per-member-per-month total costs based on claims data
|
monthly for 12 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
percent of subjects using the tool
Tidsramme: measured quarterly for 12 months
|
Based on tool usage tracking data
|
measured quarterly for 12 months
|
|
mean per-member-per-month out-of-pocket costs
Tidsramme: monthly for 12 months
|
employer level per-member-per-month out-of-pocket costs based on claims data
|
monthly for 12 months
|
|
per-member-per-month utilization of health care services
Tidsramme: monthly for 12 months
|
Employer-level utilization of health services based on claims data, including emergency department visits, encounters, lab services, radiology services, inpatient hospitalizations, MRIs, prescriptions
|
monthly for 12 months
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
reasons for using the tool
Tidsramme: measured with each use of the tool, over 12 months
|
based on survey report
|
measured with each use of the tool, over 12 months
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Studieleder: Alison Galbraith, MD, MPH, Harvard Pilgrim Health Care Institute and Harvard Medical Schooll
- Ledende efterforsker: Jonathan Gruber, PhD, Massachusetts Institute of Technology
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 5P30AG012810-20 (U.S. NIH-bevilling/kontrakt)
- 5P01AG005842-27 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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