Impact of Enroll America on the Number of Individuals Covered through the Federally Facilitated Marketplace.

Abstract:

OBJECTIVE:To assess the impact of Enroll America's field outreach activities on the number of individuals enrolled in Marketplace coverage during the first open enrollment period. DATA SOURCES/STUDY SETTING:Marketplace enrollment for the initial open enrollment period linked with data on Enroll America's field activities and baseline local-area demographic, economic, and health services characteristics. STUDY DESIGN:We used a quasi-experimental design, comparing Marketplace enrollment during the first open enrollment period in local areas drawn from Enroll America field states to a comparison group of local areas drawn from states that were not served by Enroll America's field effort, but that otherwise match up well with Enroll America states. PRINCIPAL FINDINGS:We find evidence of a large, positive effect of Enroll America's field outreach on Marketplace enrollment in non-Medicaid expansion states. Across model specifications, the Enroll America effects on Marketplace enrollment ranged between 10 and 15 percent, with most estimates statistically significant at the 5 percent level. CONCLUSIONS:Enroll America played an important role in the success of individual states' efforts to boost Marketplace enrollment. Enroll American's evidence-driven, grassroots approach could serve as a model for others interested in conducting similar outreach campaigns for Affordable Care Act-related coverage.

journal_name

Health Serv Res

journal_title

Health services research

authors

Orzol S,Hula L

doi

10.1111/1475-6773.12630

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

341-365

issue

1

eissn

0017-9124

issn

1475-6773

journal_volume

53

pub_type

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