Designing Subsidized Health Coverage Programs to Attract Enrollment: A Review of the Literature and a Synthesis of Stakeholder Views

This study focused on features that influence the enrollment of nonelderly, lower income adults into state and local programs that subsidize health coverage or care. Recognizing the well-established need for significant premium subsidies, the study focused on other determinants of enrollment and found that features other than price strongly affect enrollment. Targeted, decentralized, community-based, in-person outreach was effective in creating awareness leading to enrollment. In addition, applicants need a high level of insurance counseling and application assistance.