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.

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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 was revised on December 5, 2012

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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. citation courtesy of

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