The Prices in the Crises: What We Are Learning from 20 Years of Health Insurance in Low- and Middle-Income Countries.
Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of healthcare through publicly-operated facilities. We discuss two rationales for this transition. First, health insurance would boost fiscal revenues for...
| Publicado en: | Journal of Economic Perspectives Vol. 37; no. 2; pp. 123 - 153 |
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| Autores principales: | , |
| Formato: | Artículo |
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American Economic Association
Spring2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=163524621&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 163524621 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 08953309 JEC jtl: Journal of Economic Perspectives issn: 08953309 maglogo: N pubinfo: dt: Spring2023 vid: 37 iid: 2 pid: 22 pub: American Economic Association artinfo: ui: 163524621 10.1257/jep.37.2.123 ppf: 123 ppct: 30 formats: tig: atl: The Prices in the Crises: What We Are Learning from 20 Years of Health Insurance in Low- and Middle-Income Countries. aug: au: Das, Jishnu Do, Quy-Toan affil: Jishnu Das is Professor, McCourt School of Public Policy & Walsh School of Foreign Service, Georgetown University, Washington, DC. He is also a Faculty Research Associate, National Bureau of Economic Research, Cambridge, Massachusetts. Quy-Toan Do is a Lead Economist, Development Research Group, World Bank, Washington, DC.. su: Health insurance Prices Medical personnel Crises Middle-income countries Health insurance exchanges Diagnosis related groups sug: subj: Health insurance Prices Medical personnel Crises Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Middle-income countries Health insurance exchanges Diagnosis related groups ab: Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of healthcare through publicly-operated facilities. We discuss two rationales for this transition. First, health insurance would boost fiscal revenues for healthcare, as post-treatment out-of-pocket payments to providers would be replaced by pre-treatment insurance premia to health ministries. Second, increased patient choice and carefully designed physician reimbursements would increase quality in the healthcare sector. Our essay shows that, at best, these objectives have only been partially met. Despite evidence that health insurance has provided financial protection, consumers are not willing to pay for unsubsidized premia. Health outcomes have not improved despite an increase in utilization. We argue that this is not because there was no room to improve the quality of care but because behavioral responses among healthcare providers have systematically undermined the objectives of these insurance schemes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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