干预措施以增加可负担的医疗保健法案市场注册人数:系统审查和元分析
Lizzie Martin1,2, Andrew Feher3, William Schultz1
1Office of Evaluation Sciences, U.S. General Services Administration, Washington, District of Columbia, USA.
以行为为基础的干预措施显著提高了"负担得起的医疗法案" (ACA) 市场入学率. 基于支持的策略比单独的信息更有效,可以帮助符合条件的个人获得医疗保险.
科学领域:
- 卫生政策 卫生政策
- 行为经济学是一种行为经济学.
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 尽管有资格获得"平价医疗法案" (ACA) 市场补贴,但仍有数百万人没有保险.
- 行为干预措施在增加ACA招生方面取得了不同程度的成功.
- 了解干预的有效性对于最大限度地提高招生率至关重要.
研究的目的:
- 系统地审查和综合有关ACA市场注册行为知情干预措施的证据.
- 确定最有效的干预策略和影响入学的行政负担.
- 为决策者和项目管理人员提供见解.
主要方法:
- 发表和未发表的研究 (2014-2022) 的系统审查.
- 包括34项研究,参与者超过1800万人 (32个RCT,2个准实验).
- 对27项研究的元分析,以量化干预对入学率的影响.
主要成果:
- 以行为为基础的干预措施使ACA入学率平均增加1个百分点 (24%的相对增长).
- 基于支持的干预措施产生了2个百分点的增长,显著超过仅基于信息的策略.
- 基于信息的干预措施显示,招生人数增加了0.6个百分点.
结论:
- 以行为为基础的干预措施有效地增加了ACA市场注册人数.
- 通过招生支持解决合规成本的干预措施非常有效.
- 有针对性的支持策略可以显著减少购买医疗保险的障碍.
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