An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia
As part of the recent health reform effort, the government of Georgia launched a Medical Assistance Program in June 2006 to provide health insurance to its poor population. So far the program covers slightly over 50 percent of the poor and provide...
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| Format: | Policy Research Working Paper |
| Language: | English |
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World Bank, Washington, DC
2012
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2008/04/9354513/evaluation-initial-impact-medical-assistance-program-poor-georgia http://hdl.handle.net/10986/6512 |
| id |
okr-10986-6512 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES ACUTE CARE ADDITIONAL MONIES AMBULATORY SURGERY BENEFICIARIES BENEFICIARY BUDGET CONSTRAINTS CONSUMER CONTINGENCY CONTRIBUTION CONTRIBUTION RATES COST CONTROL COST OF CARE COST SHARING DELIVERY SYSTEM DEMAND FOR HEALTH DEMAND FOR HEALTH SERVICES DRUGS ECONOMIC REVIEW EMPLOYMENT EMPLOYMENT AGENCY ENTITLEMENT EQUITY IN ACCESS EXPENDITURES FAMILY MEMBERS FEMALE EDUCATION FINANCIAL BARRIERS FINANCIAL CONSTRAINT FINANCIAL SUSTAINABILITY FISCAL POLICY FORMAL EDUCATION FREE CARE FULL COVERAGE GENERAL POPULATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH CARE UTILIZATION HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE PLANS HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTHCARE HEALTHCARE SERVICES HEPATITIS C HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITALS HOUSEHOLD EXPENDITURES HUMAN DEVELOPMENT ILLNESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFERTILITY INFORMAL PAYMENTS INPATIENT CARE INSURANCE COMPANIES INSURANCES LACK OF INFORMATION LEVEL OF EDUCATION LIFE EXPECTANCY LIVING CONDITIONS LOW INCOME MEDICAL CARE MEDICAL COSTS MEDICAL EXPENDITURES MEDICAL FACILITIES MEDICAL SERVICES MEDICAL SUPPLIES MEDICAL TECHNOLOGY MEDICINES MORAL HAZARD MORTALITY NATIONAL HEALTH NATIONAL HEALTH SERVICE NUTRITION OUTPATIENT CARE PATIENT PATIENT TREATMENT PATIENTS PHYSICIANS POCKET PAYMENT POCKET PAYMENTS POLICY RESEARCH PRICE ELASTICITY PRIMARY EDUCATION PRIMARY HEALTH CARE PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE INSURERS PRIVATE INVESTMENT PRIVATE SECTOR PROBABILITY PROVIDER PAYMENT PSYCHOLOGIST PUBLIC EXPENDITURES PUBLIC HEALTH PUBLIC HEALTH SYSTEM REIMBURSEMENT RATES RETAIL PHARMACIES SAFETY NET SECONDARY EDUCATION SEXUALLY TRANSMITTED INFECTIONS SHARE OF INPATIENT CARE SOCIAL ASSISTANCE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SERVICES SURGERY TOTAL COSTS UNEMPLOYED UNEMPLOYED PEOPLE VISITS WELFARE PROGRAMS WELFARE REFORM |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES ACUTE CARE ADDITIONAL MONIES AMBULATORY SURGERY BENEFICIARIES BENEFICIARY BUDGET CONSTRAINTS CONSUMER CONTINGENCY CONTRIBUTION CONTRIBUTION RATES COST CONTROL COST OF CARE COST SHARING DELIVERY SYSTEM DEMAND FOR HEALTH DEMAND FOR HEALTH SERVICES DRUGS ECONOMIC REVIEW EMPLOYMENT EMPLOYMENT AGENCY ENTITLEMENT EQUITY IN ACCESS EXPENDITURES FAMILY MEMBERS FEMALE EDUCATION FINANCIAL BARRIERS FINANCIAL CONSTRAINT FINANCIAL SUSTAINABILITY FISCAL POLICY FORMAL EDUCATION FREE CARE FULL COVERAGE GENERAL POPULATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH CARE UTILIZATION HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE PLANS HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTHCARE HEALTHCARE SERVICES HEPATITIS C HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITALS HOUSEHOLD EXPENDITURES HUMAN DEVELOPMENT ILLNESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFERTILITY INFORMAL PAYMENTS INPATIENT CARE INSURANCE COMPANIES INSURANCES LACK OF INFORMATION LEVEL OF EDUCATION LIFE EXPECTANCY LIVING CONDITIONS LOW INCOME MEDICAL CARE MEDICAL COSTS MEDICAL EXPENDITURES MEDICAL FACILITIES MEDICAL SERVICES MEDICAL SUPPLIES MEDICAL TECHNOLOGY MEDICINES MORAL HAZARD MORTALITY NATIONAL HEALTH NATIONAL HEALTH SERVICE NUTRITION OUTPATIENT CARE PATIENT PATIENT TREATMENT PATIENTS PHYSICIANS POCKET PAYMENT POCKET PAYMENTS POLICY RESEARCH PRICE ELASTICITY PRIMARY EDUCATION PRIMARY HEALTH CARE PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE INSURERS PRIVATE INVESTMENT PRIVATE SECTOR PROBABILITY PROVIDER PAYMENT PSYCHOLOGIST PUBLIC EXPENDITURES PUBLIC HEALTH PUBLIC HEALTH SYSTEM REIMBURSEMENT RATES RETAIL PHARMACIES SAFETY NET SECONDARY EDUCATION SEXUALLY TRANSMITTED INFECTIONS SHARE OF INPATIENT CARE SOCIAL ASSISTANCE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SERVICES SURGERY TOTAL COSTS UNEMPLOYED UNEMPLOYED PEOPLE VISITS WELFARE PROGRAMS WELFARE REFORM Hou, Xiaohui Chao, Shiyan An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| geographic_facet |
Europe and Central Asia Georgia |
| relation |
Policy Research Working Paper; No. 4588 |
| description |
As part of the recent health reform
effort, the government of Georgia launched a Medical
Assistance Program in June 2006 to provide health insurance
to its poor population. So far the program covers slightly
over 50 percent of the poor and provides benefit coverage
for outpatient and inpatient care. This paper estimates
initial impact of the Medical Assistance Program and
assesses whether the benefits have reached the poorest among
those eligible, using utilization data from June 2006 to
December 2006. Based on the analysis using a regression
discontinuity design and a three-part model, the paper
presents two main findings. First, the Medical Assistance
Program has significantly increased utilization of acute
surgeries/inpatient services by the poor. Second, the
benefits have successfully reached the poorest among the
poor. These two findings indicate that government efforts
to improve the poor's access to and utilization of
health services are yielding results. The paper emphasizes
that the initial dramatic increase in surgeries must be
interpreted with caution, given the possible
misclassification or misreporting of acute surgeries in the
data. The paper also stresses the need to continue
monitoring implementation of the Medical Assistance Program
and further improve program design, particularly the
targeting mechanism, to achieve better efficiency,
effectiveness and overall equity in access to health care services. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Hou, Xiaohui Chao, Shiyan |
| author_facet |
Hou, Xiaohui Chao, Shiyan |
| author_sort |
Hou, Xiaohui |
| title |
An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| title_short |
An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| title_full |
An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| title_fullStr |
An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| title_full_unstemmed |
An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia |
| title_sort |
evaluation of the initial impact of the medical assistance program for the poor in georgia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2008/04/9354513/evaluation-initial-impact-medical-assistance-program-poor-georgia http://hdl.handle.net/10986/6512 |
| _version_ |
1764400610298298368 |
| spelling |
okr-10986-65122021-04-23T14:02:31Z An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia Hou, Xiaohui Chao, Shiyan ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES ACUTE CARE ADDITIONAL MONIES AMBULATORY SURGERY BENEFICIARIES BENEFICIARY BUDGET CONSTRAINTS CONSUMER CONTINGENCY CONTRIBUTION CONTRIBUTION RATES COST CONTROL COST OF CARE COST SHARING DELIVERY SYSTEM DEMAND FOR HEALTH DEMAND FOR HEALTH SERVICES DRUGS ECONOMIC REVIEW EMPLOYMENT EMPLOYMENT AGENCY ENTITLEMENT EQUITY IN ACCESS EXPENDITURES FAMILY MEMBERS FEMALE EDUCATION FINANCIAL BARRIERS FINANCIAL CONSTRAINT FINANCIAL SUSTAINABILITY FISCAL POLICY FORMAL EDUCATION FREE CARE FULL COVERAGE GENERAL POPULATION HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE REFORM HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE SYSTEMS IN TRANSITION HEALTH CARE UTILIZATION HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE COMPANIES HEALTH INSURANCE COVERAGE HEALTH INSURANCE MARKET HEALTH INSURANCE PLANS HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTHCARE HEALTHCARE SERVICES HEPATITIS C HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITALS HOUSEHOLD EXPENDITURES HUMAN DEVELOPMENT ILLNESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFERTILITY INFORMAL PAYMENTS INPATIENT CARE INSURANCE COMPANIES INSURANCES LACK OF INFORMATION LEVEL OF EDUCATION LIFE EXPECTANCY LIVING CONDITIONS LOW INCOME MEDICAL CARE MEDICAL COSTS MEDICAL EXPENDITURES MEDICAL FACILITIES MEDICAL SERVICES MEDICAL SUPPLIES MEDICAL TECHNOLOGY MEDICINES MORAL HAZARD MORTALITY NATIONAL HEALTH NATIONAL HEALTH SERVICE NUTRITION OUTPATIENT CARE PATIENT PATIENT TREATMENT PATIENTS PHYSICIANS POCKET PAYMENT POCKET PAYMENTS POLICY RESEARCH PRICE ELASTICITY PRIMARY EDUCATION PRIMARY HEALTH CARE PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE INSURERS PRIVATE INVESTMENT PRIVATE SECTOR PROBABILITY PROVIDER PAYMENT PSYCHOLOGIST PUBLIC EXPENDITURES PUBLIC HEALTH PUBLIC HEALTH SYSTEM REIMBURSEMENT RATES RETAIL PHARMACIES SAFETY NET SECONDARY EDUCATION SEXUALLY TRANSMITTED INFECTIONS SHARE OF INPATIENT CARE SOCIAL ASSISTANCE SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SERVICES SURGERY TOTAL COSTS UNEMPLOYED UNEMPLOYED PEOPLE VISITS WELFARE PROGRAMS WELFARE REFORM As part of the recent health reform effort, the government of Georgia launched a Medical Assistance Program in June 2006 to provide health insurance to its poor population. So far the program covers slightly over 50 percent of the poor and provides benefit coverage for outpatient and inpatient care. This paper estimates initial impact of the Medical Assistance Program and assesses whether the benefits have reached the poorest among those eligible, using utilization data from June 2006 to December 2006. Based on the analysis using a regression discontinuity design and a three-part model, the paper presents two main findings. First, the Medical Assistance Program has significantly increased utilization of acute surgeries/inpatient services by the poor. Second, the benefits have successfully reached the poorest among the poor. These two findings indicate that government efforts to improve the poor's access to and utilization of health services are yielding results. The paper emphasizes that the initial dramatic increase in surgeries must be interpreted with caution, given the possible misclassification or misreporting of acute surgeries in the data. The paper also stresses the need to continue monitoring implementation of the Medical Assistance Program and further improve program design, particularly the targeting mechanism, to achieve better efficiency, effectiveness and overall equity in access to health care services. 2012-05-29T13:55:40Z 2012-05-29T13:55:40Z 2008-04 http://documents.worldbank.org/curated/en/2008/04/9354513/evaluation-initial-impact-medical-assistance-program-poor-georgia http://hdl.handle.net/10986/6512 English Policy Research Working Paper; No. 4588 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Europe and Central Asia Georgia |