Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| American Institutes for Research | OTHER |
| Public Health Solutions | OTHER |
| The New York Academy of Medicine | OTHER |
| New York City Health and Hospitals Corporation |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The ActionHealthNYC program is a year-long demonstration program to improve access to high quality health care for NYC resident immigrants who do not qualify for public insurance with incomes at or below 200% of the Federal Poverty Level (FPL). The purpose of this study is to determine whether improved access and care coordination services provided through the ActionHealth NYC program allows participants to have easier access to healthcare (particularly primary care and preventive services) than non-participants.
The ActionHealthNYC program is a year-long demonstration program to improve access to high quality health care for NYC resident immigrants who do not qualify for public insurance with incomes at or below 200% of the Federal Poverty Level (FPL). Our goal in piloting the program and conducting the research study is to understand the following questions:
We will be conducting a randomized controlled trial (RCT) where we will be enrolling 2,400 people that meet the eligibility criteria and randomizing half into the ActionHealth NYC program. We will be employing a mixed methods approach to address differences between participants randomized to receive enhanced services through ActionHealthNYC (AHNYC) and those receiving usual care, utilizing surveys, secondary data analysis, key informant interviews and participant focus groups.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Member | Experimental | The member group will be able to join ActionHealth NYC program, where they are assigned a primary care physician and have a standardized fee scale for services obtained in network. Laboratory, diagnostic, and specialty services can be obtained at network H+H locations. They will be offered recommended USPSTF A+B tests/screenings, HIV and TB screening (if indicated), and care coordination. If they are deemed "high risk," enhanced care coordination services will be offered. |
|
| Study | No Intervention | The study group will be counseled on their options to access health care, including at public hospitals and community health centers. They will receive no additional services from the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ActionHealth NYC | Other | care coordination, covered preventive services, and standardized costs for ambulatory care |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improved access to healthcare | e.g. fewer delays in getting needed care | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Enhanced healthcare utilization | e.g. emergency department care utilization rate | One year |
| Reduced barriers to needed care | e.g. financial barriers |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Enrollees are required to have the NYC Municipal identification card (IDNYC). If they do not have the card, however, they can obtain it and come back for enrollment.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Rishi Sood, MPH | New York City Department of Health and Mental Hygiene | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York City Department of Health and Mental Hygiene | Long Island City | New York | 11101 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| OTHER |
| New York City Human Resources Administration | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
Not provided
| One year |
| Enhanced utilization of preventive services | Utilization of USPSTF recommended services through primary care home | One year |
| Increased number of new diagnoses | One year |