IDEAS home Printed from https://ideas.repec.org/p/col/000092/020821.html
   My bibliography  Save this paper

The impact of updating health benefits plans on health technologies usage and expenditures: the case of Colombia

Author

Listed:
  • Espinosa, Oscar

    (Instituto de Evaluación Tecnológica en Salud; Universidad Nacional)

  • Rodríguez, Jhonathan

    (Instituto de Evaluación Tecnológica en Salud)

  • Ávila, Diego

    (Instituto de Evaluación Tecnológica en Salud)

  • Rodríguez-Lesmes, Paul

    (Universidad del Rosario)

  • Basto, Sergio

    (Instituto de Evaluación Tecnológica en Salud)

  • Romano, Giancarlo

    (1 Instituto de Evaluación Tecnológica en Salud)

  • Mesa, Lorena

    (Instituto de Evaluación Tecnológica en Salud)

  • Enríquez, Hernán

    (Universidad Sergio Arboleda)

Abstract

Using administrative data in 2012–2019, we estimate the impact of the inclusion of technology into the Colombian health benefits plan (HBP) charged to the capitation payment unit (CPU) on the usage, expenditures, and market conditions. Technologies (drugs and procedures) before and after their inclusion were compared using a Callaway-Sant’Anna’s difference-in-differences with multiple time period method and a synthetic control strategy. A substantial increase in the use and prescription of these technologies was noted. Expenditure levels per user slightly increased; however, the response varies over time. Annual expansion of HBP charged to CPU provided tacit benefits to the Colombian population.

Suggested Citation

  • Espinosa, Oscar & Rodríguez, Jhonathan & Ávila, Diego & Rodríguez-Lesmes, Paul & Basto, Sergio & Romano, Giancarlo & Mesa, Lorena & Enríquez, Hernán, 2023. "The impact of updating health benefits plans on health technologies usage and expenditures: the case of Colombia," Documentos de Trabajo 20821, Universidad del Rosario.
    • Handle: RePEc:col:000092:020821
    as

    Download full text from publisher

    File URL: https://repository.urosario.edu.co/server/api/core/bitstreams/a5f35536-a541-43e2-a5f9-8a203790b352/content
    File Function: Full text
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Berndt Ernst R. & McGuire Thomas & Newhouse Joseph P., 2011. "A Primer on the Economics of Prescription Pharmaceutical Pricing in Health Insurance Markets," Forum for Health Economics & Policy, De Gruyter, vol. 14(2), pages 1-30, November.
    2. Salaheddine El Omari & Mahmoud Karasneh, 2021. "Social health insurance in the Philippines: do the poor really benefit?," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 45(1), pages 171-187, January.
    3. Gnawali, Devendra Prasad & Pokhrel, Subhash & Sié, Ali & Sanon, Mamadou & De Allegri, Manuela & Souares, Aurélia & Dong, Hengjin & Sauerborn, Rainer, 2009. "The effect of community-based health insurance on the utilization of modern health care services: Evidence from Burkina Faso," Health Policy, Elsevier, vol. 90(2-3), pages 214-222, May.
    4. Alberto Abadie & Javier Gardeazabal, 2003. "The Economic Costs of Conflict: A Case Study of the Basque Country," American Economic Review, American Economic Association, vol. 93(1), pages 113-132, March.
    5. Grant Miller & Diana Pinto & 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, American Economic Association, vol. 5(4), pages 61-91, October.
    6. Alberto Abadie, 2021. "Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects," Journal of Economic Literature, American Economic Association, vol. 59(2), pages 391-425, June.
    7. Fink, Günther & Robyn, Paul Jacob & Sié, Ali & Sauerborn, Rainer, 2013. "Does health insurance improve health?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1043-1056.
    8. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    9. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    10. Giedion, Ursula & Panopoulou, Giota & Gómez-Fraga, Sandra, 2009. "Diseño y ajuste de los planes explícitos de beneficios: el caso de Colombia y México," Financiamiento para el Desarrollo 5201, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    11. Fritz von der Schulenburg & Sotiris Vandoros & Panos Kanavos, 2011. "The effects of drug market regulation on pharmaceutical prices in Europe: overview and evidence from the market of ACE inhibitors," Health Economics Review, Springer, vol. 1(1), pages 1-8, December.
    12. Monica Lambon-Quayefio & Nkechi S. Owoo, 2017. "Determinants and the impact of the National Health Insurance on neonatal mortality in Ghana," Health Economics Review, Springer, vol. 7(1), pages 1-16, December.
    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. Joakim Weill, 2023. "Flood Risk Mapping and the Distributional Impacts of Climate Information," Working Papers 2023.10, FAERE - French Association of Environmental and Resource Economists.
    2. Miquel Oliu-Barton & Bary S. R. Pradelski & Nicolas Woloszko & Lionel Guetta-Jeanrenaud & Philippe Aghion & Patrick Artus & Arnaud Fontanet & Philippe Martin & Guntram B. Wolff, 2022. "The effect of COVID certificates on vaccine uptake, health outcomes, and the economy," Nature Communications, Nature, vol. 13(1), pages 1-13, December.
    3. Joakim A. Weill, 2023. "Flood Risk Mapping and the Distributional Impacts of Climate Information," Finance and Economics Discussion Series 2023-066, Board of Governors of the Federal Reserve System (U.S.).
    4. Daniel Aparicio-Pérez & Maria Teresa Balaguer-Coll & Emili Tortosa-Ausina, 2021. "Politics against Economics: The Case of Spanish Regional Financing," Working Papers 2021/15, Economics Department, Universitat Jaume I, Castellón (Spain).
    5. Di, Wenhua & Pattison, Nathaniel, 2023. "Industry Specialization and Small Business Lending," Journal of Banking & Finance, Elsevier, vol. 149(C).
    6. Kim, Youngho, 2023. "Payments for Ecosystem Services Programs and Climate Change Adaptation in Agriculture," 2023 Annual Meeting, July 23-25, Washington D.C. 335971, Agricultural and Applied Economics Association.
    7. Barney Hartman‐Glaser & Mark Thibodeau & Jiro Yoshida, 2023. "Cash to spend: IPO wealth and house prices," Real Estate Economics, American Real Estate and Urban Economics Association, vol. 51(1), pages 68-102, January.
    8. Manuel Funke & Moritz Schularick & Christoph Trebesch, 2023. "Populist Leaders and the Economy," American Economic Review, American Economic Association, vol. 113(12), pages 3249-3288, December.
    9. Maximiliano Marzetti & Rok Spruk, 2023. "Long-Term Economic Effects of Populist Legal Reforms: Evidence from Argentina," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 65(1), pages 60-95, March.
    10. Sadeghi, Ali & Kibler, Ewald, 2022. "Do bankruptcy laws matter for entrepreneurship? A Synthetic Control Method analysis of a bankruptcy reform in Finland," Journal of Business Venturing Insights, Elsevier, vol. 18(C).
    11. Michael Funke & Kadri Männasoo & Helery Tasane, 2023. "Regional Economic Impacts of the Øresund Cross-Border Fixed Link: Cui Bono?," CESifo Working Paper Series 10557, CESifo.
    12. Goryunov, Alexander & Ageshina, Elena & Lavrentev, Igor & Peretyatko, Polina, 2023. "Estimating the effect of Russia’s development policy in the Far Eastern region: The synthetic control approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 72, pages 58-72.
    13. Avdic, Daniel & von Hinke, Stephanie, 2021. "Extending alcohol retailers’ opening hours: Evidence from Sweden," European Economic Review, Elsevier, vol. 138(C).
    14. Ayala, Luis & Martín-Román, Javier & Navarro, Carolina, 2023. "Unemployment shocks and material deprivation in the European Union: A synthetic control approach," Economic Systems, Elsevier, vol. 47(1).
    15. Tomasz Serwach, 2022. "The European Union and within-country income inequalities. The case of the New Member States," Working Papers hal-03548416, HAL.
    16. Diop, Samba & Asongu, Simplice & Tchamyou, Vanessa, 2021. "The Macroeconomic Impact of Recent Political Conflicts in Africa: Generalized Synthetic Counterfactual Evidence," MPRA Paper 110696, University Library of Munich, Germany.
    17. Martin Ellison & Sang Seok Lee & Kevin Hjortshøj O'Rourke, 2024. "The Ends of 27 Big Depressions," American Economic Review, American Economic Association, vol. 114(1), pages 134-168, January.
    18. Florian Gunsilius & Meng Hsuan Hsieh & Myung Jin Lee, 2022. "Tangential Wasserstein Projections," Papers 2207.14727, arXiv.org, revised Aug 2022.
    19. Ketevani Kapanadze, 2021. "Checkmate! Losing with Borders, Winning with Centers. The Case of European Integration," CERGE-EI Working Papers wp716, The Center for Economic Research and Graduate Education - Economics Institute, Prague.
    20. Bonander, Carl & Ekman, Mats & Jakobsson, Niklas, 2022. "Vaccination nudges: A study of pre-booked COVID-19 vaccinations in Sweden," Social Science & Medicine, Elsevier, vol. 309(C).

    More about this item

    Keywords

    Health benefits plan; universal health coverage; health expenditures; CallawaySant’Anna’s method; synthetic control;
    All these keywords.

    JEL classification:

    • C55 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Large Data Sets: Modeling and Analysis
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:col:000092:020821. 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: Facultad de Economía (email available below). General contact details of provider: https://edirc.repec.org/data/ferosco.html .

    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.