2022
DOI: 10.1177/10775587221101295
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Health Insurance Ad Messages Targeted to English- and Spanish-Speaking Populations in a Period of Limited Federal Investment in Marketplace Outreach

Abstract: Federal funding cuts to enrollment outreach and marketing of the Affordable Care Act (ACA) marketplace options in 2017 has raised questions about the adequacy of the information the public has received, especially among populations vulnerable to uninsurance. Using health insurance ads aired from January 1, 2018, through December 21, 2018, we conducted a content analysis focused on (a) the messaging differences by ad language (English vs. Spanish) and (b) the messaging appeals used by nonfederally sponsored hea… Show more

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(2 citation statements)
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“…We applied additional exclusion criteria similar to the process implemented by Pando et al (2022) to focus on ads for health insurance-related products. We eliminated ads that did not offer a health insurance product, ads focused on Medicare products (that were missed in the primary exclusion stage), ads for health insurance products in Mexico (but aired in overlapping US and Mexico markets), ads not aired in 2018 (that were incorrectly included in the data set), and ads where more than half of the ad information was missing because of a technical error.…”
Section: Datamentioning
confidence: 99%
See 1 more Smart Citation
“…We applied additional exclusion criteria similar to the process implemented by Pando et al (2022) to focus on ads for health insurance-related products. We eliminated ads that did not offer a health insurance product, ads focused on Medicare products (that were missed in the primary exclusion stage), ads for health insurance products in Mexico (but aired in overlapping US and Mexico markets), ads not aired in 2018 (that were incorrectly included in the data set), and ads where more than half of the ad information was missing because of a technical error.…”
Section: Datamentioning
confidence: 99%
“…This evidence, combined with other studies (e.g., Gollust et al, 2018; Karaca‐Mandic et al, 2017) demonstrates the importance of health insurance advertising and enrollment, and motivates our study on the content of advertising. Ads about the Medicaid program may be one opportunity to increase awareness of the program among eligible populations, not only because of their direct messages urging enrollment (see, e.g., Pando et al, 2022) but also because of the images they provide about who is (and is not) an enrollee. In addition to providing information about the program and direct messages about enrollment (see, e.g., Pando et al, 2022), advertisements provide images about who is—and is not—an enrollee; accurate depictions of the populations enrolled in and eligible for coverage could contribute to bolstering program uptake.…”
Section: Introductionmentioning
confidence: 99%