The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua

This paper measures the causal effects of parent enrollment into voluntary health insurance on healthcare utilization among insured and uninsured children in Nicaragua. The study utilizes a randomized trial and age-eligibility cut-off in which insu...

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Main Authors: Fitzpatrick, Anne, Thornton, Rebecca
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2017
Subjects:
Online Access:http://documents.worldbank.org/curated/en/492551498484598240/The-effects-of-health-insurance-within-families-experimental-evidence-from-Nicaragua
http://hdl.handle.net/10986/27613
id okr-10986-27613
recordtype oai_dc
spelling okr-10986-276132021-06-08T14:42:47Z The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua Fitzpatrick, Anne Thornton, Rebecca HEALTH INSURANCE SPILLOVERS COMPLEMENTARITIES RANDOMIZED CONTROL TRIAL This paper measures the causal effects of parent enrollment into voluntary health insurance on healthcare utilization among insured and uninsured children in Nicaragua. The study utilizes a randomized trial and age-eligibility cut-off in which insurance subsidies were randomly allocated to parents that covered their dependent children under 12; children ages 12 and older were not eligible for coverage. Among eligible children, the insurance increased utilization at covered providers by 0.56 visits and increased overall utilization by 1.3 visits. Ineligible children with insured parents experienced 1.7 fewer healthcare visits, driven by parent, not sibling enrollment. The results suggest complementarities across healthcare provider type, and provide evidence that households reallocate resources across all members, in response to changes in healthcare prices for some. 2017-07-17T22:54:24Z 2017-07-17T22:54:24Z 2017-06 Working Paper http://documents.worldbank.org/curated/en/492551498484598240/The-effects-of-health-insurance-within-families-experimental-evidence-from-Nicaragua http://hdl.handle.net/10986/27613 English en_US Policy Research Working Paper;No. 8115 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Latin America & Caribbean Nicaragua
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic HEALTH INSURANCE
SPILLOVERS
COMPLEMENTARITIES
RANDOMIZED CONTROL TRIAL
spellingShingle HEALTH INSURANCE
SPILLOVERS
COMPLEMENTARITIES
RANDOMIZED CONTROL TRIAL
Fitzpatrick, Anne
Thornton, Rebecca
The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
geographic_facet Latin America & Caribbean
Nicaragua
relation Policy Research Working Paper;No. 8115
description This paper measures the causal effects of parent enrollment into voluntary health insurance on healthcare utilization among insured and uninsured children in Nicaragua. The study utilizes a randomized trial and age-eligibility cut-off in which insurance subsidies were randomly allocated to parents that covered their dependent children under 12; children ages 12 and older were not eligible for coverage. Among eligible children, the insurance increased utilization at covered providers by 0.56 visits and increased overall utilization by 1.3 visits. Ineligible children with insured parents experienced 1.7 fewer healthcare visits, driven by parent, not sibling enrollment. The results suggest complementarities across healthcare provider type, and provide evidence that households reallocate resources across all members, in response to changes in healthcare prices for some.
format Working Paper
author Fitzpatrick, Anne
Thornton, Rebecca
author_facet Fitzpatrick, Anne
Thornton, Rebecca
author_sort Fitzpatrick, Anne
title The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
title_short The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
title_full The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
title_fullStr The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
title_full_unstemmed The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
title_sort effects of health insurance within families : experimental evidence from nicaragua
publisher World Bank, Washington, DC
publishDate 2017
url http://documents.worldbank.org/curated/en/492551498484598240/The-effects-of-health-insurance-within-families-experimental-evidence-from-Nicaragua
http://hdl.handle.net/10986/27613
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