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

  • Grant Miller
  • Diana Pinto
  • Marcos Vera-Hernández

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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Article provided by American Economic Association in its journal American Economic Journal: Applied Economics.

Volume (Year): 5 (2013)
Issue (Month): 4 (October)
Pages: 61-91

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Handle: RePEc:aea:aejapp:v:5:y:2013:i:4:p:61-91
Note: DOI: 10.1257/app.5.4.61
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