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Trial Start Date September 20, 2024 October 16, 2024
Last Published September 19, 2024 10:18 PM October 14, 2024 04:54 PM
Intervention Start Date September 26, 2024 October 16, 2024
Primary Outcomes (End Points) The key outcome of interest is the quality of the insurance plan recommendation from an insurance producer (or insurance agent). Our primary outcome evaluates the quality of an agent's recommendation against what an expert would recommend. We are primarily interested in the heterogeneity in recommendations and response rates by insurance agent characteristics based on publicly available data and randomly assigned consumer characteristics. Insurance agent characteristics we focus on include number of appointments, firm affiliation, number of states licensed in, tenure, and advertising presence. We will also use text analysis from recordings to study variations in the language used by caller/consumer and insurance producer characteristics. The key outcome of interest is the quality of the insurance plan recommendation from an insurance producer (or insurance agent). Our primary outcome evaluates the quality of an agent's recommendation against what a fully-informed expert would recommend. We are primarily interested in the heterogeneity in recommendations and response rates by insurance agent characteristics based on publicly available data and randomly assigned consumer characteristics such as gender and age. Finally, we test whether randomly assigning consumers to signal that they are soliciting and comparing multiple recommendations improves the quality of agent recommendations.
Primary Outcomes (Explanation) We measure recommendation quality as whether or not the agent recommends Medicare Advantage and the average plan price of the recommendation. Insurance agent characteristics we focus on include number of appointments, firm affiliation, number of states licensed in, tenure, and advertising presence. We will also use text analysis from recordings to study variations in the language used by caller/consumer and insurance producer characteristics. We measure recommendation quality as whether or not the agent recommends Medicare Advantage, the average plan price of the recommendation, and the agent’s accuracy when answering factual questions.
Experimental Design (Public) This study seeks to understand the role of intermediaries in the Medicare market. We investigate how insurance plan recommendations are correlated with consumer and agent characteristics. The key outcome of interest is the quality of an insurance plan recommendation from an insurance producer (or insurance agent). We are also interested in the heterogeneity in recommendations by insurance agent characteristics based on publicly available data. We will conduct a correspondence study that randomly assigns caller and client characteristics to a randomly selected group of insurance agents. To identify insurance agents, we will assemble a list of the most common insurance agents that appear from Google and other public recommendation lists (including government databases, industry affiliation lists, social media websites, and business review and consumer recommendation websites). We will conduct these searches from multiple IP addresses. We will also use text analysis from recordings to study variations in the language used by caller/consumer and insurance producer characteristics.
Randomization Unit Consumers will be randomly assigned to insurance agents (and therefore insurance agent characteristics) by a computer. Variation in consumer characteristics such as age will also be randomly assigned. Consumers will be randomly assigned to insurance agents (and therefore insurance agent characteristics) by a computer at the individual level. Variation in competition signaling and consumer characteristics such as gender and age will also be randomly assigned.
Sample size (or number of clusters) by treatment arms We will aim to have a 50/50 balance of the main agent characteristics of interest, but we do not expect the sample to be perfectly balanced due to the expected differences in response rates among agents. The randomization does not ensure exact balance by insurance agent characteristics such as number of states licensed in, number of appointments, etc. We will also aim to have a balanced sample of consumer characteristics such as gender. We will aim to have a 50/50 balance of the main agent and consumer characteristics of interest (e.g. the gender and age of the consumers) and whether or not consumers signal competition. We do not expect the sample to be perfectly balanced due to anticipated differences in response rates among agents and because the randomization does not ensure exact balance by insurance agent characteristics such as number of states licensed in, number of appointments, etc.
Intervention (Hidden) We will conduct a correspondence study that randomly assigns caller/client characteristics to a randomly selected group of insurance producers (or insurance agents). We will study variation in recommendation quality across insurance agents to determine which agents licensure, demographic, and geographical characteristics are correlated with better or worse recommendations. We plan to focus on insurance agent characteristics from publicly available data. We will conduct a correspondence study that randomly assigns caller/client characteristics to a randomly selected group of insurance producers (or insurance agents). We will study variation in recommendation quality across insurance agents to determine which agent licensure, demographic, and geographic characteristics are correlated with better or worse recommendations. We plan to focus on insurance agent characteristics from publicly available data. Finally, we also test whether randomly assigning consumers to signal that they are soliciting and comparing multiple recommendations improves the quality of agent recommendations.
Secondary Outcomes (End Points) We will also look the the number of incorrect/misleading statements an agent makes as a measure of recommendation quality. Our primary outcome looks at the quality of the agent's recommendation against an expert benchmark, but we also use consumer choice, other agent recommendations, and random choice as benchmarks. We will also look at the impact of state-level differences in the regulatory and market environment. We will also look at the number of incorrect/misleading statements an agent makes as a measure of recommendation quality. Our primary outcome looks at the quality of the agent's recommendation against an expert benchmark, but we also use consumer choice, other agent recommendations, and random choice as benchmarks. We will also look at the impact of state-level differences in the regulatory and market environment.
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