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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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 |
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Digital Repository |
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Foreign Institution |
institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
topic |
HEALTH INSURANCE RANDOMIZED CONTROL TRIAL SPILLOVER COMPLEMENTARITY CHILD HEALTH |
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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 |