Virtual Health Insurance Navigation Pilot Program for Colorectal Survivors

Status: complete

This trial aims to assess the feasibility and acceptability of colorectal survivors approached and engaged in HINT and aims to assess the preliminary efficacy of HINT to improve 1) health insurance literacy and 2) financial burden related to medical cost concerns colorectal survivors. The study investigators propose that, compared to the control arm (who will receive a health insurance information guide, but will not receive the navigation intervention), participants in the HINT intervention arm will have improved health insurance literacy and decreased financial distress related to medical costs.

Inclusion Criteria

patients who are18-65 years of age
patients who are 1) approximately 6 months to 5 years posttreatment for stages I-III colon or rectal cancer or 2) approximately more than 3 months post-diagnosis for stage IV colon or rectal cancer at the time of screening
patients who had a medical visit at MGH in the past two years
patients who have medical insurance
patients who speak English
patients who have access to an iPad, computer, smartphone or laptop with WIFI access

Exclusion Criteria

patients who are younger than 18 years of age or older than 65 years of age
patients who are unable to give consent due to psychiatric or cognitive impairment
patients who lack of access to a smartphone, computer, or tablet with internet access
patients who do not currently have health insurance

With support from the American Cancer Society, Dr. Park designed a 5-session health

insurance navigation treatment program, Health Insurance Navigation Tools (HINT), that is

currently being delivered remotely, as a collaboration with the Childhood Cancer Survivor

Study. Given the current insurance landscape and the additional insurance burden that

adult colorectal cancer survivors face, the present study seeks to conduct a pilot trial

with the existing health insurance intervention and adult colorectal cancer survivors

seen at MGH Cancer Centers to improve health insurance literacy and decrease financial

burden related to medical costs. The present study seeks to develop and pilot a health

insurance navigation program with adult colorectal cancer survivors recruited from MGH.

Patients diagnosed with colorectal cancer have a higher risk of experiencing financial

burden related to health care costs when compared to patients diagnosed with other types

of cancer. While many cancer survivors report experiencing financial burden, financial

burden is particularly acute among survivors of colorectal cancer. Outcomes of financial

burden among colorectal cancer survivors include lower health related quality of life,

employment concerns, and delay or lack of engagement in needed surveillance and follow-up

care.

Understanding and navigating insurance benefits in the current landscape is crucial for

colorectal cancer survivors to obtain and utilize the health care that they need. With

this in mind, the study investigators propose to develop and pilot an insurance

navigation intervention to examine its feasibility and acceptability among colorectal

cancer survivors receiving care at the MGH.

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Virtual Health Insurance Navigation Pilot Program for Colorectal Survivors

Description

Eligibility Criteria

Locations & Contacts

Trial Objectives and Outline

Trial Phase & Type

Lead Organization

Trial IDs

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