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Michigan Contraceptive Access, Research, and Evaluation

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Michigan Contraceptive Access, Research, and Evaluation Study

M-CARES will use large-scale administrative data complemented by follow-up surveys and a randomized control trial (RCT) to estimate the causal impact of greater financial access to contraception on a comprehensive set of outcomes. Outcomes include contraceptive use, pregnancy, childbearing, and parenting strategies; partnership decisions and relationship quality; health and health care use; education, labor market success, and public assistance receipt; financial security; neighborhood quality; mental health and stress; and life plans. The resulting estimates will inform a more complete understanding of the costs and benefits of financial access to contraception and, therefore, the investment value of related policies and programs.

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No pharmaceutical medication involved common.study.methods.has-drugs-no
Patients and healthy individuals accepted common.study.methods.is-healthy-no

Behavioral - Gift card to be used for contraceptives that is valued at 50% of cost of name-brand IUD (August 18, 2018-March 3, 2019)

M-CARES will randomize allocation of vouchers (gift cards) for contraception valued up to 50% of inserting a name-brand IUD (e.g., Skyla, Paraguard, Mirena) for women with out of pocket costs at Planned Parenthood. This intervention occurred between August 18, 2018, and March 3, 2019.

Behavioral - Gift card to be used for contraceptives that is valued at 100% of cost of name-brand IUD (March 4, 2019-November 4, 2019)

M-CARES will randomize allocation of vouchers (gift cards) for contraception valued up to 100% of inserting a name-brand IUD (e.g., Skyla, Paraguard, Mirena) for women with out of pocket costs at Planned Parenthood. This intervention occurred after March 3, 2019.

Behavioral - Gift card to be used for contraceptives continues to be valued at 100% of the cost of name-brand IUDs but out-of-pocket costs increase in control group (November 5, 2019 forward)

Beginning after November 4, Planned Parenthood of Michigan (PPMI) withdrew from Title X and increased the out-of-pocket costs for contraceptives for women fee scale 2/B and above as well as fee scale 1/A patients if they are over 21. The M-CARES vouchers continues to cover 100% of inserting a name-brand IUD for all women with out-of-pocket costs at Planned Parenthood. This intervention occurred after November 4, 2019.

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Michigan Contraceptive Access, Research, and Evaluation Study

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NCT03673007

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