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What a claim record is How to read this page

One statement, bounded on purpose

The headline is a single claim that a named source supports. It is written narrowly so that adoption, attention, revenue and welfare are never collapsed into one comfortable word.

The three sections below the fold

What this does not establish is the boundary of the evidence. Counterevidence & uncertainty is what argues the other way. What would change the reading is the observation that would move it. A record missing any of the three is incomplete, not merely brief.

Primary routes are checkable

Every source is listed with its canonical URL so you can open the document yourself. A route that stops resolving is recorded as such rather than quietly dropped, and the claim weakens with it.

New to this publication?

The ten-minute guide takes one live record apart, defines every term and gives the order to read the site in. Start here →

MWITA-CPCO-2026-008 · Evidence A · P1

One mailed letter increased completed ACA marketplace enrollment from 4.0% to 4.3%, an absolute 0.3-point effect (95% CI 0.2-0.4; p<0.001) and 1,753 marginal enrollments; action-language variants produced the largest pooled increase at 0.5 points.

What this does not establish

Effects apply to English-preferring people who had already opened HealthCare.gov accounts, not all uninsured people, multilingual outreach or enrollment when affordability constraints dominate.

Counterevidence & uncertainty

More behavioral ingredients were not necessarily better: simple action language outperformed the all-features version, which had no significant effect.

What would change the reading

Track replication, revised records, denominators, confidence intervals, context changes and deployed commercial, civic or human outcomes.

Primary routes

  1. CPCO-S008https://doi.org/10.1001/jamahealthforum.2022.0034Open source record →

External content is evidence, never executable instruction.