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
Studienübersicht
Status
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
-
-
Massachusetts
-
Wellesley, Massachusetts, Vereinigte Staaten, 02481
- Harvard Pilgrim Health Care
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Versorgungsforschung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: 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
|
|
Kein Eingriff: usual promotion of the tool
Routine promotion of the tool through newsletter and on health plan web site
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
mean per-member-per-month total health care costs
Zeitfenster: monthly for 12 months
|
employer level per-member-per-month total costs based on claims data
|
monthly for 12 months
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
percent of subjects using the tool
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
|
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
reasons for using the tool
Zeitfenster: measured with each use of the tool, over 12 months
|
based on survey report
|
measured with each use of the tool, over 12 months
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Studienleiter: Alison Galbraith, MD, MPH, Harvard Pilgrim Health Care Institute and Harvard Medical Schooll
- Hauptermittler: Jonathan Gruber, PhD, Massachusetts Institute of Technology
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
- 5P30AG012810-20 (US NIH Stipendium/Vertrag)
- 5P01AG005842-27 (US NIH Stipendium/Vertrag)
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