Selection and behavioral responses of health insurance subsidies in the long run: Evidence from a field experiment in Ghana.

Asuming, Patrick Opoku; Kim, Hyuncheol Bryant; Sim, Armand

Asuming, Patrick Opoku; Kim, Hyuncheol Bryant; Sim, Armand.

Afiliación

Asuming PO; University of Ghana Business School, Accra, Ghana.
Kim HB; Department of Economics, Hong Kong University of Science and Technology, Hong Kong, Hong Kong.
Sim A; Centre for Development Economics and Sustainability, Monash University, Caulfield East, Victoria, Australia.

Health Econ ; 33(5): 992-1032, 2024 05.

Article en En | MEDLINE | ID: mdl-38291321

ABSTRACT

ABSTRACT

We study the effects of a health insurance subsidy in Ghana, where mandates are not enforceable. We randomly provide different levels of subsidy (1/3, 2/3, and full) and evaluate the impact at 7 months and 3 years after the intervention. We find that a one-time subsidy increased insurance enrollment for all groups in both the short and long runs, but health care utilization in the long run increased only for the partial subsidy group. We find supportive evidence that ex-post behavioral responses rather than ex-ante selective enrollment explain the long-run health care utilization results.

Asunto(s)

Seguro de Salud; Aceptación de la Atención de Salud; Humanos; Ghana

Palabras clave

health insurance; randomized experiments; selection; sustainability

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Seguro de Salud Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Health Econ Asunto de la revista: SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido

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