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Expanding Health Insurance for the Elderly of the Philippines

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  • Abrigo, Michael R.M., Halliday, Timothy J., Molina, Teresa

Abstract

This paper evaluates a Filipino policy that expanded health insurance coverage of its senior citizens, aged 60 and older, in 2014. Using regression discontinuity and difference-in-differences methods, the study finds that the expansion increases insurance coverage by approximately 16-percentage points. Compliers induced by the policy to obtain insurance are disproportionately female and largely from the middle of the socioeconomic distribution. Instrumental variables estimates indicate that out-of-pocket medical expenditures more than double among the compliers. The study also argues that this is most likely driven by an outward shift in the medical demand curve.

Suggested Citation

  • Abrigo, Michael R.M., Halliday, Timothy J., Molina, Teresa, 2019. "Expanding Health Insurance for the Elderly of the Philippines," Discussion Papers DP 2019-37, Philippine Institute for Development Studies.
    • Handle: RePEc:phd:dpaper:dp_2019-37
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    References listed on IDEAS

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    Cited by:

    1. Timothy J. Halliday & Randall Q. Akee, 2020. "The impact of Medicaid on medical utilization in a vulnerable population: Evidence from COFA migrants," Health Economics, John Wiley & Sons, Ltd., vol. 29(10), pages 1231-1250, October.
    2. O'Donnell, Owen, 2024. "Health and health system effects on poverty: A narrative review of global evidence," Health Policy, Elsevier, vol. 142(C).
    3. Takaku, Reo & Yokoyama, Izumi, 2022. "The financial health of “swing hospitals” during the first COVID-19 outbreak," Journal of the Japanese and International Economies, Elsevier, vol. 65(C).
    4. Noelia Bernal & Joan Costa-i-Font & Patricia Ritter, 2022. "The Effect of Health Insurance on Child Nutritional Outcomes. Evidence from a Regression Discontinuity Design in Peru," CESifo Working Paper Series 9887, CESifo.

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    More about this item

    Keywords

    health insurance; insurance; Philippines; senior citizen; medical demand; compliers;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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