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Does moving to a system with a more generous public health insurance increase medical care consumption?

Author

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  • Léa Toulemon

    (ECON - Département d'économie (Sciences Po) - Sciences Po - Sciences Po - CNRS - Centre National de la Recherche Scientifique)

  • Laurent Davezies

    (ECON - Département d'économie (Sciences Po) - Sciences Po - Sciences Po - CNRS - Centre National de la Recherche Scientifique)

Abstract

We evaluate the impact of reimbursement rates on health expenditures, using a natural experiment. For historical reasons, reimbursement rates of public health insurance are higher in the French region Alsace Moselle than in other French regions. For both systems, affiliation is compulsory. Individuals moving between Alsace-Moselle and the rest of France undergo an exogenous change in reimbursement rates. We use a difference-in-difference method on a panel datasets of individuals. Our treatment group consists of individuals changing systems, our control group consists of individuals who move between other French regions. We study the impact of reimbursement rates on a broad range of health care expenditures: for dentist and doctor visits, drug consumption, and sickness absenteeism. We find heterogeneous impacts of reimbursement rates on those items. Overall, higher public reimbursement rates do not lead to an increase in spending for medical care.

Suggested Citation

  • Léa Toulemon & Laurent Davezies, 2015. "Does moving to a system with a more generous public health insurance increase medical care consumption?," Working Papers hal-01121272, HAL.
    • Handle: RePEc:hal:wpaper:hal-01121272
    Note: View the original document on HAL open archive server: https://sciencespo.hal.science/hal-01121272
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    Cited by:

    1. A. Cazenave-Lacroutz & A. Godzinski, 2017. "Effects of the one-day waiting period for sick leave on health-related absences in the French central civil service," Documents de Travail de l'Insee - INSEE Working Papers g2017-06, Institut National de la Statistique et des Etudes Economiques.

    More about this item

    Keywords

    Evaluation;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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