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Effect of Health Insurance in India: A Randomized Controlled Trial

Author

Listed:
  • Anup Malani
  • Phoebe Holtzman
  • Kosuke Imai
  • Cynthia Kinnan
  • Morgen Miller
  • Shailender Swaminathan
  • Alessandra Voena
  • Bartosz Woda
  • Gabriella Conti

Abstract

We report on a large randomized controlled trial of hospital insurance for above-poverty-line Indian households. Households were assigned to free insurance, sale of insurance, sale plus cash transfer, or control. To estimate spillovers, the fraction of households offered insurance varied across villages. The opportunity to purchase insurance led to 59.91% uptake and access to free insurance to 78.71% uptake. Access increased insurance utilization. Positive spillover effects on utilization suggest learning from peers. Many beneficiaries were unable to use insurance, demonstrating hurdles to expanding access via insurance. Across a range of health measures, we estimate no significant impacts on health.

Suggested Citation

  • Anup Malani & Phoebe Holtzman & Kosuke Imai & Cynthia Kinnan & Morgen Miller & Shailender Swaminathan & Alessandra Voena & Bartosz Woda & Gabriella Conti, 2021. "Effect of Health Insurance in India: A Randomized Controlled Trial," NBER Working Papers 29576, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:29576
    Note: DEV EH
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    Cited by:

    1. Anaka Aiyar & Naveen Sunder, 2024. "Health insurance and child mortality: Evidence from India," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 870-893, May.
    2. Zhichao Jiang & Kosuke Imai & Anup Malani, 2023. "Statistical inference and power analysis for direct and spillover effects in two‐stage randomized experiments," Biometrics, The International Biometric Society, vol. 79(3), pages 2370-2381, September.
    3. Dupas, Pascaline & Jain, Radhika, 2023. "Can beneficiary information improve hospital accountability? Experimental evidence from a public health insurance scheme in India," Journal of Public Economics, Elsevier, vol. 220(C).
    4. Zhang, Yan & Zhao, Guangchuan & Gu, Hai, 2022. "Investing in health capital: Does medical insurance matter?," Research in International Business and Finance, Elsevier, vol. 61(C).
    5. Steven Wilkins Reeves & Shane Lubold & Arun G. Chandrasekhar & Tyler H. McCormick, 2024. "Model-Based Inference and Experimental Design for Interference Using Partial Network Data," Papers 2406.11940, arXiv.org.

    More about this item

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • O1 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development

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