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
Aperçu de l'étude
Statut
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Massachusetts
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Wellesley, Massachusetts, États-Unis, 02481
- Harvard Pilgrim Health Care
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: 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)
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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
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Aucune intervention: usual promotion of the tool
Routine promotion of the tool through newsletter and on health plan web site
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
mean per-member-per-month total health care costs
Délai: monthly for 12 months
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employer level per-member-per-month total costs based on claims data
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monthly for 12 months
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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percent of subjects using the tool
Délai: measured quarterly for 12 months
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Based on tool usage tracking data
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measured quarterly for 12 months
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mean per-member-per-month out-of-pocket costs
Délai: monthly for 12 months
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employer level per-member-per-month out-of-pocket costs based on claims data
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monthly for 12 months
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|
per-member-per-month utilization of health care services
Délai: monthly for 12 months
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Employer-level utilization of health services based on claims data, including emergency department visits, encounters, lab services, radiology services, inpatient hospitalizations, MRIs, prescriptions
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monthly for 12 months
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Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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reasons for using the tool
Délai: measured with each use of the tool, over 12 months
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based on survey report
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measured with each use of the tool, over 12 months
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Directeur d'études: Alison Galbraith, MD, MPH, Harvard Pilgrim Health Care Institute and Harvard Medical Schooll
- Chercheur principal: Jonathan Gruber, PhD, Massachusetts Institute of Technology
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- 5P30AG012810-20 (Subvention/contrat des NIH des États-Unis)
- 5P01AG005842-27 (Subvention/contrat des NIH des États-Unis)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
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