ActionHealthNYC for Health Accessibility

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: New York City Department of Health and Mental Hygiene

Disqualifiers: Not NYC resident, Income above 200% FPL, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

2428 Participants Needed

Trial Summary

What is the purpose of this trial?

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.

Research Team

Rishi Sood, MPH

Principal Investigator

New York City Department of Health and Mental Hygiene

Eligibility Criteria

This trial is for uninsured New York City residents aged 19 or older who are not eligible for Medicaid, the Essential Plan, or private insurance through federal marketplace subsidies because of their immigration status. Participants must have incomes at or below 200% of the Federal Poverty Level.

Inclusion Criteria

I am an uninsured adult living in New York City.

You cannot get Medicaid, Essential Plan, or private insurance with help from the government because of your immigration status.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Enrollment

Participants are enrolled and randomized into either the ActionHealthNYC program or the usual care group

2 weeks

Intervention

Participants in the ActionHealthNYC program receive enhanced services including assignment to a primary care physician, standardized fee scale, and care coordination. The study group receives counseling on healthcare access options.

12 months

Follow-up

Participants are monitored for healthcare access, utilization, and barriers to care

12 months

Treatment Details

Interventions

• ActionHealth NYC

Trial Overview The study is testing the ActionHealthNYC program, which aims to improve healthcare access and coordination services for NYC immigrant residents without public insurance. It's a year-long demonstration to see if it helps participants get easier access to primary care and preventive services compared to non-participants.

Participant Groups

Group I: Member Experimental Treatment 1 Intervention

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.

Group II: Study Active Control 1 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.

Who Is Running the Clinical Trial?

New York City Department of Health and Mental Hygiene

Lead Sponsor

Trials

20

Recruited

19,400+

New York City Human Resources Administration

Collaborator

Trials

1

Recruited

2,400+

New York City Health and Hospitals Corporation

Collaborator

Trials

33

Recruited

8,500+

American Institutes for Research

Collaborator

Trials

8

Recruited

20,900+

Public Health Solutions

Collaborator

Trials

7

Recruited

15,700+

The New York Academy of Medicine

Collaborator

Trials

14

Recruited

14,200+

New York City Mayor's Office of Immigrant Affairs

Collaborator

Trials

1

Recruited

2,400+