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

Autor: 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.
Jazyk: angličtina
Zdroj: Health economics [Health Econ] 2024 May; Vol. 33 (5), pp. 992-1032. Date of Electronic Publication: 2024 Jan 30.
DOI: 10.1002/hec.4797
Abstrakt: 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.
(© 2024 The Authors. Health Economics published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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