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Does non-profit health insurance reduce financial burden? Evidence from the Vietnam living standards survey panel

  • Ardeshir Sepehri

    (Department of Economics, University of Manitoba, Canada)

  • Sisira Sarma

    (Elisabeth Bruyere Research Institute, University of Ottawa, Canada)

  • Wayne Simpson

    (Department of Economics, University of Manitoba, Canada)

Many low-income countries are implementing non-profit medical insurance to increase access to health services, especially among low-income households, and to raise additional revenue for financing public health services. This paper estimates the effect of insurance on out-of-pocket health expenditures using the Vietnam Living Standards Surveys for 1993 and 1998 and appropriate models for panel data. Our findings suggest that health insurance reduces health expenditure when unobserved heterogeneity is accounted for. Failure to capture unobserved heterogeneity produces contrary results that are consistent with previous cross-sectional studies in the literature. Health insurance is found to reduce out-of-pocket expenditure between 16 and 18% and the reduction in expenditure is more pronounced for individuals with lower incomes. At mean income, the effect of health insurance is to reduce health expenditures between 28 and 35%. Copyright © 2005 John Wiley & Sons, Ltd.

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File URL: http://hdl.handle.net/10.1002/hec.1080
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Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 15 (2006)
Issue (Month): 6 ()
Pages: 603-616

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Handle: RePEc:wly:hlthec:v:15:y:2006:i:6:p:603-616
Contact details of provider: Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  7. Ángel López Nicolás, 1997. "Unobserved heterogeneity and censoring in the demand for health care," Working Papers, Research Center on Health and Economics 240, Department of Economics and Business, Universitat Pompeu Fabra.
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