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This is a study of the effect of consumer-directed financial incentives on completion of advance care planning among Medi-Cal patients.
Older adults receiving primary care from one of three clinics contracting with Partnership HealthPlan of California, a multi-county Medi-Cal managed care plan will be mass randomized to receiving educational materials regarding advance care planning with or without a financial reward for completing advance care planning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PREPARE | Active Comparator | Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP. |
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| PREPARE+financial incentive | Experimental | Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP; offer of $50 to complete the website and entry into $1000 lottery for discussing ACP with one's PCP. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Financial incentive | Behavioral | Offer of money designed to overcome barriers to advance care planning. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Having an advance care planning conversation with one's primary care provider | Primary care providers' documentation of an advance care planning conversation in the chart and/or via a Partnership HealthPlan of California ACP attestation form. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Completion of "Prepare for Your Care" website modules | Logging into the website, completing the modules, and creating an action plan | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amber Barnato, MD MPH MS | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Partnership HealthPlan of California | Fairfield | California | 94534-1675 | United States |
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| Educational website | Behavioral | Research-verson of the "Prepare for your care" website (www.prepareforyourcare.org) |
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