NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

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

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

NBER Working Paper No. 15456
Issued in October 2009
NBER Program(s):   CH   HC   HE

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.

download in pdf format
   (4319 K)

email paper

A non-technical summary of this paper is available in the 2009 number 4 issue of the NBER Bulletin on Aging and Health. You can sign up to receive the NBER Bulletin on Aging and Health by email.

This paper is available as PDF (4319 K) or via email.

This paper was revised on December 5, 2012

Acknowledgments

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w15456

Published: 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.

Users who downloaded this paper also downloaded these:
Case and Paxson w15637 Causes and Consequences of Early Life Health
Pauly, Blavin, and Meghan w14095 Is There a Market for Voluntary Health Insurance in Developing Countries?
Miller w11704 Contraception as Development? New Evidence from Family Planning in Colombia
Kolstad and Kowalski w16012 The Impact of Health Care Reform On Hospital and Preventive Care: Evidence from Massachusetts
Finkelstein, Taubman, Wright, Bernstein, Gruber, Newhouse, Allen, Baicker, and Study Group w17190 The Oregon Health Insurance Experiment: Evidence from the First Year
 
Publications
Activities
Meetings
Data
People
About

Support
National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us