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
Visão geral do estudo
Status
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Massachusetts
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Wellesley, Massachusetts, Estados Unidos, 02481
- Harvard Pilgrim Health Care
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Pesquisa de serviços de saúde
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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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)
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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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Sem intervenção: usual promotion of the tool
Routine promotion of the tool through newsletter and on health plan web site
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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mean per-member-per-month total health care costs
Prazo: 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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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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percent of subjects using the tool
Prazo: 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
Prazo: 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
Prazo: 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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Outras medidas de resultado
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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reasons for using the tool
Prazo: 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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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Diretor de estudo: Alison Galbraith, MD, MPH, Harvard Pilgrim Health Care Institute and Harvard Medical Schooll
- Investigador principal: Jonathan Gruber, PhD, Massachusetts Institute of Technology
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- 5P30AG012810-20 (Concessão/Contrato do NIH dos EUA)
- 5P01AG005842-27 (Concessão/Contrato do NIH dos EUA)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
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