The impact of standardized disease-specific healthcare coverage

• 成果类型: Article
• 署名作者: Menares, Felipe; Munoz, Pablo
• 署名单位: Inter-American Development Bank; Universidad de Chile
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2025.105312
• 发表日期: 2025
• 关键词: insurance; mortality; health policy

摘要

We study the impact of a healthcare reform that standardized procedures and timely coverage of a set of diseases. Using Chile's universe of death records and a difference-in-differences research design, we show that mortality from the diseases covered by this reform decreased by 4.4% on average. Disease-specific shocks or a resource shift from non-covered to covered diseases do not explain this effect. Evidence from polytraumatized inpatients suggests that the reform equalized utilization rates as it reduced the dispersion of risk-adjusted surgery rates and spending across hospitals.