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Risk Protection, Service Use, and Health Outcomes Under Colombia's Health Insurance Program for the Poor

  • Grant Miller
  • Diana M. Pinto
  • Marcos Vera-Hernández

Unexpected medical care spending imposes considerable financial risk on developing country households. Based on managed care models of health insurance in wealthy countries, Colombia's Régimen Subsidiado is a publicly financed insurance program targeted to the poor, aiming both to provide risk protection and to promote allocative efficiency in the use of medical care. Using a "fuzzy" regression discontinuity design, we find that the program has shielded the poor from some financial risk while increasing the use of traditionally under-utilized preventive services - with measurable health gains.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 15456.

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Date of creation: Oct 2009
Date of revision:
Publication status: published as 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.
Handle: RePEc:nbr:nberwo:15456
Note: CH HC HE
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