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American Economic Journal: Applied Economics: Vol. 5 No. 4 (October 2013)

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

Article Citation

Miller, Grant, Diana Pinto, and Marcos Vera-Hernández. 2013. "Risk Protection, Service Use, and Health Outcomes under Colombia's Health Insurance Program for the Poor." American Economic Journal: Applied Economics, 5(4): 61-91.

DOI: 10.1257/app.5.4.61

Abstract

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 Régimen 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.

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Authors

Miller, Grant (CHP/PCOR, Stanford U)
Pinto, Diana (Inter-American Development Bank)
Vera-Hernández, Marcos (U College London and IFS, London)

JEL Classifications

G22: Insurance; Insurance Companies; Actuarial Studies
I13: Health Insurance, Public and Private
I18: Health: Government Policy; Regulation; Public Health
I38: Welfare, Well-Being, and Poverty: Government Programs; Provision and Effects of Welfare Programs
O15: Economic Development: Human Resources; Human Development; Income Distribution; Migration

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