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 cutoff in which insurance subsidies were randomly allocated to parents th...

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Main Authors: Fitzpatrick, Anne, Thornton, Rebecca
Format: Journal Article
Published: Published by Oxford University Press on behalf of the World Bank 2021
Subjects:
Online Access:http://hdl.handle.net/10986/35431
id okr-10986-35431
recordtype oai_dc
spelling okr-10986-354312021-04-23T14:02:21Z The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua Fitzpatrick, Anne Thornton, Rebecca HEALTH INSURANCE RANDOMIZED CONTROL TRIAL SPILLOVER COMPLEMENTARITY CHILD HEALTH 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 cutoff in which insurance subsidies were randomly allocated to parents that covered their dependent children under 12; children age 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. 2021-04-13T14:33:50Z 2021-04-13T14:33:50Z 2019-10 Journal Article World Bank Economic Review 1564-698X http://hdl.handle.net/10986/35431 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Published by Oxford University Press on behalf of the World Bank Publications & Research Publications & Research :: Journal Article Latin America & Caribbean Nicaragua
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic HEALTH INSURANCE
RANDOMIZED CONTROL TRIAL
SPILLOVER
COMPLEMENTARITY
CHILD HEALTH
spellingShingle HEALTH INSURANCE
RANDOMIZED CONTROL TRIAL
SPILLOVER
COMPLEMENTARITY
CHILD HEALTH
Fitzpatrick, Anne
Thornton, Rebecca
The Effects of Health Insurance within Families : Experimental Evidence from Nicaragua
geographic_facet Latin America & Caribbean
Nicaragua
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 cutoff in which insurance subsidies were randomly allocated to parents that covered their dependent children under 12; children age 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 Journal Article
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 Published by Oxford University Press on behalf of the World Bank
publishDate 2021
url http://hdl.handle.net/10986/35431
_version_ 1764483019964416000