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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
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    References listed on IDEAS

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    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

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