Skip to main content
. Author manuscript; available in PMC: 2023 Dec 1.
Published in final edited form as: Med Care Res Rev. 2022 Jun 16;79(6):798–810. doi: 10.1177/10775587221101295

Table 3.

Marketing Appeals by Sponsor Type and Language in Enrollment Television Ads Aired January 1—December 31, 2018.

Overall sample (N = 266,584) English sample (n = 216,815) Spanish sample (n = 49,769)
Public (n = 65,713) Private (n = 200,871) Public (n = 49,822) Private (n = 166,993) Public (n = 15,891) Private (n = 33,878)
Marketing appeal and policy references n (%) n (%) n (%) n (%) n (%) n (%)
Product appeals
 Explicit reference to insurance 40,835 (62.1) 40,230 (20.0) 37,077 (74.7) 35,464 (21.2) 3,758 (23.7) 4,766 (14.1)
 Brand/loyalty 6,081 (9.3) 44,255 (22.0) 5,973 (12.0) 36,222 (21.7) 108 (0.7) 8,033 (23.7)
Benefit appeals
 Prescription drugs 2,698 (4.1) 94,245 (46.9) 2,462 (4.9) 74,484 (44.6) 236 (1.5) 19,761 (58.3)
 Nonmedical benefits 0 (0.0) 70,432 (35.1) 0 (0.0) 64,233 (38.5) 0 (0.00) 6,199 (18.3)
 Choice of doctor available 184 (0.3) 68,631 (34.2) 0 (0.0) 48,206 (28.9) 184 (1.2) 20,425 (60.3)
 Access to specialists 0 (0.0) 44,513 (22.2) 0 (0.0) 38,832 (23.3) 0 (0.0) 5,681 (16.8)
 Wellness programs 96 (0.2) 27,391 (13.6) 96 (0.2) 27,391 (16.4) 0 (0.0) 0 (0.0)
ACA-policy-related references
 Financial assistance/subsidies/tax credits available 40,185 (61.2) 11,010 (5.5) 31,469 (63.2) 9,034 (5.4) 8,716 (54.9) 1,976 (5.8)
 Mention of “Marketplace” 9,344 (14.2) 18,386 (9.2) 9,146 (18.4) 16,026 (9.6) 198 (1.3) 2,360 (7.0)
 Mention of “government” 1,799 (2.7) 2,849 (1.4) 1,704 (3.4) 2,849 (1.7) 95 (0.6) 0 (0.0)
 Mention of “ACA” or “Obamacare” 0 (0.0) 3,236 (1.6) 0 (0.0) 2,151 (1.3) 0 (0.0) 1,085 (3.2)
 Avoiding penalties 0 (0.0) 886 (0.4) 0 (0.0) 122 (0.1) 0 (0.0) 764 (2.3)
 Lower cost plans cheaper/better than ACA 0 (0.0) 318 (0.2) 0 (0.0) 318 (0.2) 0 (0.0) 0 (0.0)

Note. Statistical tests between English and Spanish samples were calculated using logistic regression with English-sample ads as the reference group controlling for ad length. All differences were statistically significant for non-zero cells at 0.001 except for branding/loyalty in the overall sample (p = .69) and mention of marketplace in the overall sample (p = .003). ACA = Affordable Care Act.