IDEAS home Printed from https://ideas.repec.org/a/prs/ecstat/estat_0336-1454_2012_num_455_1_10017.html
   My bibliography  Save this article

Faire valoir ses droits à l'Aide complémentaire santé : les résultats d'une expérimentation sociale

Author

Listed:
  • Sophie Guthmuller
  • Florence Jusot
  • Jérôme Wittwer
  • Caroline Desprès

Abstract

L'Aide complémentaire santé (ACS) ou « chèque santé » a été mise en place en 2005 pour inciter les ménages dont le niveau de vie se situe juste au-dessus du plafond CMU-C à acquérir une couverture complémentaire santé grâce à une subvention. Même si le nombre de bénéficiaires a lentement progressé depuis son introduction, le recours à l'ACS reste faible. Deux hypothèses peuvent expliquer cet état de fait : (1) le défaut d'information sur l'existence du dispositif, son fonctionnement et sur les démarches à entreprendre pour en bénéficier ; (2) un montant d'aide insuffisant, la complémentaire resterait trop chère même après déduction de l'aide. Afin de tester la validité de ces deux hypothèses, une expérimentation sociale contrôlée a été mise en place par l'université Paris-Dauphine à Lille auprès d'un échantillon de 4 209 assurés sociaux potentiellement éligibles à l'ACS. Un montant majoré d'aide ainsi qu'un accès différencié à l'information sur le dispositif ont été proposés de manière aléatoire à certains assurés. Les résultats montrent de manière robuste que la majoration du montant du « chèque santé » améliore légèrement le taux de recours à l'ACS et permet de mieux cibler les personnes effectivement éligibles. Toutefois, l'ACS reste un dispositif compliqué qui touche difficilement sa cible : au total, seuls 17 % des assurés ont fait une demande d'ACS. Seuls 9 % des assurés invités à participer à une réunion d'information y ont effectivement assisté, et l'invitation à cette réunion a largement découragé les autres assurés, annulant ainsi l'effet de la majoration du chèque. Enfin, seuls 55 % des assurés ayant déposé une demande ont reçu l'aide, les autres s'étant vu refuser l'aide en raison, le plus souvent, de ressources trop élevées. La difficulté à cibler la population éligible et l'incertitude importante sur l'éligibilité qui en résulte sont certainement des freins s'ajoutant à la complexité des démarches.
(This abstract was borrowed from another version of this item.)

Suggested Citation

  • Sophie Guthmuller & Florence Jusot & Jérôme Wittwer & Caroline Desprès, 2012. "Faire valoir ses droits à l'Aide complémentaire santé : les résultats d'une expérimentation sociale," Économie et Statistique, Programme National Persée, vol. 455(1), pages 53-70.
    • Handle: RePEc:prs:ecstat:estat_0336-1454_2012_num_455_1_10017
    DOI: 10.3406/estat.2012.10017
    Note: DOI:10.3406/estat.2012.10017
    as

    Download full text from publisher

    File URL: https://doi.org/10.3406/estat.2012.10017
    Download Restriction: no
    File URL: https://www.persee.fr/doc/estat_0336-1454_2012_num_455_1_10017
    Download Restriction: no
    File URL: https://libkey.io/10.3406/estat.2012.10017?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. A. D. Roy, 1951. "Some Thoughts On The Distribution Of Earnings," Oxford Economic Papers, Oxford University Press, vol. 3(2), pages 135-146.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Colin Davis, 2013. "Regional integration and innovation offshoring with occupational choice and endogenous growth," Journal of Economics, Springer, vol. 108(1), pages 59-79, January.
    2. Liverpool-Tasie, Lenis Saweda, 2012. "Targeted Subsidies and Private Market Participation: An Assessment of Fertilizer Demand in Nigeria:," IFPRI discussion papers 1194, International Food Policy Research Institute (IFPRI).
    3. Irene Bertschek & Joern Block & Alexander S. Kritikos & Caroline Stiel, 2024. "German financial state aid during Covid-19 pandemic: Higher impact among digitalized self-employed," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 36(1-2), pages 76-97, January.
    4. François Fall & Akim Almouksit, 2016. "The impact of formal financing on small informal enterprises in Comoros," Working Papers hal-01566389, HAL.
    5. Josse Delfgaauw & Robert Dur, 2008. "Incentives and Workers' Motivation in the Public Sector," Economic Journal, Royal Economic Society, vol. 118(525), pages 171-191, January.
    6. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, vol. 30(5), pages 1044-1056.
    7. Todd Pugatch, 2014. "Safety valve or sinkhole? Vocational schooling in South Africa," IZA Journal of Labor & Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 3(1), pages 1-31, December.
    8. Michael Lechner & Ruth Miquel & Conny Wunsch, 2011. "Long‐Run Effects Of Public Sector Sponsored Training In West Germany," Journal of the European Economic Association, European Economic Association, vol. 9(4), pages 742-784, August.
    9. Michael Gerfin & Michael Lechner, 2002. "A Microeconometric Evaluation of the Active Labour Market Policy in Switzerland," Economic Journal, Royal Economic Society, vol. 112(482), pages 854-893, October.
    10. Paul Ellickson & Sanjog Misra, 2012. "Enriching interactions: Incorporating outcome data into static discrete games," Quantitative Marketing and Economics (QME), Springer, vol. 10(1), pages 1-26, March.
    11. Kristiina Huttunen & Jarle Møen & Kjell G. Salvanes, 2018. "Job Loss and Regional Mobility," Journal of Labor Economics, University of Chicago Press, vol. 36(2), pages 479-509.
    12. Alex Bell & Raj Chetty & Xavier Jaravel & Neviana Petkova & John Van Reenen, 2019. "Who Becomes an Inventor in America? The Importance of Exposure to Innovation," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(2), pages 647-713.
    13. Naguib, Costanza, 2019. "Estimating the Heterogeneous Impact of the Free Movement of Persons on Relative Wage Mobility," Economics Working Paper Series 1903, University of St. Gallen, School of Economics and Political Science.
    14. Marco Caliendo & Stefan Tübbicke, 2020. "New evidence on long-term effects of start-up subsidies: matching estimates and their robustness," Empirical Economics, Springer, vol. 59(4), pages 1605-1631, October.
    15. Daniela Andrén & Thomas Andrén, 2015. "Gender and occupational wage gaps in Romania: from planned equality to market inequality?," IZA Journal of European Labor Studies, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 4(1), pages 1-27, December.
    16. Fomba Kamga, Benjamin, 2012. "Contrats de travail et segmentation du marché du travail dans le secteur manufacturier camerounais," L'Actualité Economique, Société Canadienne de Science Economique, vol. 88(2), pages 197-229, Juin.
    17. Ilpo Kauppinen & Panu Poutvaara, 2012. "Preferences for Redistribution among Emigrants from a Welfare State," ifo Working Paper Series 120, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    18. Heckman, James, 2001. "Accounting for Heterogeneity, Diversity and General Equilibrium in Evaluating Social Programmes," Economic Journal, Royal Economic Society, vol. 111(475), pages 654-699, November.
    19. Mayda, Anna Maria & Ortega, Francesc & Peri, Giovanni & Shih, Kevin & Sparber, Chad, 2018. "The effect of the H-1B quota on the employment and selection of foreign-born labor," European Economic Review, Elsevier, vol. 108(C), pages 105-128.
    20. Arnaud Chevalier & Gauthier Lanot, 2004. "Monotonicity and the Roy Model," Manchester School, University of Manchester, vol. 72(4), pages 560-567, July.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:prs:ecstat:estat_0336-1454_2012_num_455_1_10017. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Equipe PERSEE (email available below). General contact details of provider: https://www.persee.fr/collection/estat .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.