Outreach interventions increase Affordable Care Act marketplace enrollment
With the end of the federal COVID-19 Public Health Emergency in April 2023, approximately 15 million individuals are projected to lose Medicaid and Children's Health Insurance Program coverage. We evaluated the evidence on the effects of outreach on Affordable Care Act (ACA) marketplace enrollment.
Our systematic review and meta-analysis of 34 studies with a combined sample size of over 18 million people found that on average, information-based interventions increased enrollment rates by 0.6 percentage points. In comparison, interventions that involved enrollment support (such as a phone call to eligible individuals about the enrollment process) increased enrollment rates by 2 percentage points.
Support-based interventions increased ACA enrollment more than information alone, based on a meta-analysis covering 58 interventions.
Join OES as a Division Director
Support GSA and other federal agencies generate and use evidence to better serve the public! We’re filling two permanent, remote GS-15 Division Director vacancies and encourage qualified candidates to apply. Eligible candidates will be considered for both opportunities. These positions are located in the Office of Evaluation Services within the Office of Governmentwide Policy at GSA.
OES and Treasury collaborate to evaluate the effect of mailing postcards on applications to the Homeowner Assistance Fund
The Homeowner Assistance Fund (HAF) program, overseen by the U.S. Department of the Treasury, provides $9.96 billion in funding to states, territories, and Tribal entities to prevent the displacement of homeowners as a result of the COVID-19 pandemic. We worked with Idaho Housing and Finance Association (IHFA) to evaluate whether direct mail efforts were effective at increasing uptake of their HAF program among a small sample (N = 1,651) of recipients.
We found strong evidence that print mailers did not increase the number of applications to Idaho’s HAF. The findings from this rapid evaluation enabled IHFA to redirect approximately $25,000 to fund English and Spanish language billboards targeting eligible homeowners in hard-to-reach rural areas with above average shares of Hispanic/Latino populations.
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