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Healthcare utilization and outcomes for insured dependent children: evidence from Indonesia

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  • Kalyan Kolukuluri

    (Indian Institute of Management Visakhapatnam)

Abstract

In this study, I examine the role of health insurance cover in improving access to healthcare services and consequently its role in improving health outcomes for dependent children. I utilize differences in temporal variation of insurance cover for dependent children and their cousins, within the same Indonesian household to estimate the effect. By comparing dependent children of different biological parents, living in the same household, this study avoids potential confounders for healthcare demand, such as health endowment due to nutrition and hygiene. I find that dependent children of government employees have increased access to health insurance. In terms of healthcare use, I find no impact of insurance in providing access to preventive care as an outpatient. Instead, insurance status positively impacted first time and repeat visits to private facilities for curative care only. Insured children were 4.4 per cent more likely, than uninsured cousins, to access first-time curative care and make 63 per cent more repeat visits as an outpatient. In contrast, for inpatient services, insured children sought care at public facilities. Insurance did not have a positive impact on health outcomes for dependents. The results are robust to an instrumental variable estimation, alongside household fixed effects, which addresses concerns on potential endogeneity of insurance cover.

Suggested Citation

  • Kalyan Kolukuluri, 2022. "Healthcare utilization and outcomes for insured dependent children: evidence from Indonesia," Empirical Economics, Springer, vol. 63(2), pages 945-977, August.
    • Handle: RePEc:spr:empeco:v:63:y:2022:i:2:d:10.1007_s00181-021-02146-9
    DOI: 10.1007/s00181-021-02146-9
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    References listed on IDEAS

    as
    1. Bernal, Noelia & Carpio, Miguel A. & Klein, Tobias J., 2017. "The effects of access to health insurance: Evidence from a regression discontinuity design in Peru," Journal of Public Economics, Elsevier, vol. 154(C), pages 122-136.
    2. David Card & Andrew K.G. Hildreth & Lara D. Shore-Sheppard, 2004. "The Measurement of Medicaid Coverage in the SIPP: Evidence From a Comparison of Matched Records," Journal of Business & Economic Statistics, American Statistical Association, vol. 22, pages 410-420, October.
    3. Hanming Fang & Michael P. Keane & Dan Silverman, 2008. "Sources of Advantageous Selection: Evidence from the Medigap Insurance Market," Journal of Political Economy, University of Chicago Press, vol. 116(2), pages 303-350, April.
    4. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    5. Calomiris, Charles W. & Rajaraman, Indira, 1998. "The role of ROSCAs: lumpy durables or event insurance?," Journal of Development Economics, Elsevier, vol. 56(1), pages 207-216, June.
    6. Christopher F Baum & Mark E. Schaffer & Steven Stillman, 2007. "Enhanced routines for instrumental variables/generalized method of moments estimation and testing," Stata Journal, StataCorp LP, vol. 7(4), pages 465-506, December.
    7. Boudreaux, Michel H. & Golberstein, Ezra & McAlpine, Donna D., 2016. "The long-term impacts of Medicaid exposure in early childhood: Evidence from the program's origin," Journal of Health Economics, Elsevier, vol. 45(C), pages 161-175.
    8. Budi Aji & Manuela De Allegri & Aurelia Souares & Rainer Sauerborn, 2013. "The Impact of Health Insurance Programs on Out-of-Pocket Expenditures in Indonesia: An Increase or a Decrease?," IJERPH, MDPI, vol. 10(7), pages 1-19, July.
    9. Sommers, Benjamin D., 2006. "Insuring children or insuring families: Do parental and sibling coverage lead to improved retention of children in Medicaid and CHIP?," Journal of Health Economics, Elsevier, vol. 25(6), pages 1154-1169, November.
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    More about this item

    Keywords

    Healthcare access; Child health; Dependent insurance; Employer-based insurance;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty

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