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How much do low-cost, behaviorally informed letters increase health insurance enrollment?
A new publication led by OES in JAMA Health Forum details how low-cost letters can increase health insurance enrollment, especially among underserved populations.
The randomized clinical trial included 744,510 individuals on the HealthCare.gov platform during the final 2 weeks of the 2015 open enrollment period. Individuals were randomly assigned to be sent one of eight behaviorally informed letters encouraging enrollment.
Letters increased enrollment by 7%, amounting to 1,753 additional enrollments. The letters cost $0.55 per person, which amounts to a cost as low as $104 per new enrollee.
Letters that included actionable steps for potential enrollees to take had larger effects, particularly among Black and Hispanic individuals in Medicaid expansion states.
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Upcoming Events
Open to APPAM conference attendees only
Tuesday, March 29 from 2:45 to 4:15 PM ET
Interventions to Improve Opioid Prescribing Practices: Learning What Works from Randomized Evaluations in Government.
Evaluation 101
Open to federal executive branch employees only. Register on MAX.gov.
Wednesday, April 20 from 3:00-4:30 PM ET
An introduction to evaluation and how it can help agencies better understand their programs, policies, and operations.
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Learning what works to support equitable delivery of the American Rescue Plan (ARP)
 OES is collaborating with the Office of Management and Budget Evidence Team, the ARP Implementation Team, the U.S. Department of Treasury, the Department of Education, and other agencies to undertake a portfolio of evaluations to support equitable outcomes through American Rescue Plan funds and programs.
A set of new evaluations seeks to better understand how to improve awareness, access, and allocation of ARP programs with equity goals. The evaluations will be intentional and strategic in building evidence to understand the role of those programs and supported interventions in improving outcomes for historically underserved populations:
- OES will undertake a portfolio of evaluations with agency partners to better understand how to improve awareness, access, and allocation of ARP programs and resources, focusing on ARP programs with equity goals.
- GSA will dedicate resources to fund a multi-year national evaluation of a cross-section of priority ARP-funded programs, using an independent third-party research firm to answer questions on where and how ARP programs helped advance equity.
OES’ recent work is highlighted on our ARP portfolio page:
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Collaborate with OES to evaluate ARP Programs
OES team members will work closely with agency partners and collaborators to design and implement an evaluation, analyze data, and share findings. We’re excited to work with agency partners across government. Read more about how the collaborations work here.
If you are a federal employee and your agency is interested in collaborating in this effort, please complete this brief form. OES will be reviewing submissions on a rolling basis in 2022. Feel free to email questions to oes@gsa.gov.
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