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Last Published April 08, 2025 04:20 PM April 09, 2025 06:04 PM
Experimental Design (Public) The experimental population will include people in Wisconsin who lost Medicaid coverage for procedural reasons during an 18 month period. Exclusion criteria include preferring a language other than English, Spanish, or Hmong, and lacking a working phone number. Assignment to treatment arms will occur monthly. Randomization will be clustered by household. Households will be assigned to treatment arms in equal numbers, stratified by key characteristics that can affect eligibility and enrollment processes. The experimental population will include people in Wisconsin who lost Medicaid coverage for procedural reasons during an 18 month period. Exclusion criteria include preferring a language other than English, Spanish, or Hmong, and lacking a working phone number. Assignment to treatment arms will occur monthly. Randomization will be clustered by household. Randomization will be stratified by key characteristics that can affect eligibility and enrollment processes. To maximize power to detect an effect among non-English speakers, which are a small minority of the sample, we will randomize households whose head preferred a language other than English to the three treatment arms in equal numbers. English speakers will be randomized to remaining live outbound call spots until the capacity cap is hit, and remaining English-speaking households will be assigned to the remaining two treatment arms (pre-recorded call and control group) in equal proportions. To reflect this randomization strategy, we will separately analyze data for English and non-English speakers.
Sample size (or number of clusters) by treatment arms Live outbound call from a Navigator 36,250 households Pre-recorded outbound call (45% of the sample) ~42,500 households No-outreach control arm ~52,000 households Live outbound call from a Navigator ~36,000 households Pre-recorded outbound call ~47,000 households No-outreach control arm ~47,000 households
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