Risk Protection, Service Use, and Health Outcomes under Colombia's Health Insurance Program for the Poor

• 成果类型: Article
• 署名作者: Miller, Grant; Pinto, Diana; Vera-Hernandez, Marcos
• 署名单位: Stanford University; National Bureau of Economic Research; University of London; University College London
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.5.4.61
• 发表日期: 2013
• 页码: 61-91
• 关键词: regression discontinuity designs; public insurance; care; cost; consumption; nutrition; medicare; LESSONS; plan; manipulation

摘要

Unexpected medical care spending imposes considerable financial risk on developing country households. Based on managed care models of health insurance in wealthy countries, Colombia's Regimen Subsidiado is a publicly financed insurance program targeted to the poor, aiming both to provide risk protection and to promote allocative efficiency in the use of medical care. Using a fuzzy regression discontinuity design, we find that the program has shielded the poor from some financial risk while increasing the use of traditionally underutilized preventive services-with measurable health gains.