Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme
Financial protection is one of the objectives of health systems, which protects poor households from falling into poverty as a result of health care related expenses. Expanding prepayment schemes to the poor is difficult in developing countries because labor is largely informal. Providing health car...
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Universidad del Rosario
2017
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Acceso en línea: | http://repository.urosario.edu.co/handle/10336/10976 |
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ir-10336-109762019-09-19T12:37:01Z Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme Castaño Yepez, Ramón Abel Zambrano, Andrés Problemas & servicios de bienestar social Administración de servicios de salud Pobreza::Aspectos Sociales Salud pública Análisis financiero::Aspectos Sociales Seguridad social Financial protection subsidized insurance out-of-pocket expenses Colombia Financial protection is one of the objectives of health systems, which protects poor households from falling into poverty as a result of health care related expenses. Expanding prepayment schemes to the poor is difficult in developing countries because labor is largely informal. Providing health care free-at-point-of-service does not adequately target spending on the poorest, but occupation- or community-based schemes have also inherent limitations to achieve universal coverage. Colombia adopted a government-subsidized health insurance scheme (SHI) strategy. The political debate about increasing SHI enrollment needs evidence about the effectiveness of this scheme regarding financial protection. This study runs a four-part model to estimate the effect of SHI on out-of-pocket expenses by the poor that are currently uninsured, if they were enrolled in the SHI. The results show a 43% and 50% reduction in expenses at Bogotá and national level respectively, which confirms the effectiveness of SHI as a financial protection tool. 2017 2015-10-06T13:24:34Z info:eu-repo/semantics/workingPaper info:eu-repo/semantics/acceptedVersion http://repository.urosario.edu.co/handle/10336/10976 eng info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Facultad de Economía instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR instname:Universidad del Rosario |
institution |
EdocUR - Universidad del Rosario |
collection |
DSpace |
language |
Inglés (English) |
topic |
Problemas & servicios de bienestar social Administración de servicios de salud Pobreza::Aspectos Sociales Salud pública Análisis financiero::Aspectos Sociales Seguridad social Financial protection subsidized insurance out-of-pocket expenses Colombia |
spellingShingle |
Problemas & servicios de bienestar social Administración de servicios de salud Pobreza::Aspectos Sociales Salud pública Análisis financiero::Aspectos Sociales Seguridad social Financial protection subsidized insurance out-of-pocket expenses Colombia Castaño Yepez, Ramón Abel Zambrano, Andrés Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
description |
Financial protection is one of the objectives of health systems, which protects poor households from falling into poverty as a result of health care related expenses. Expanding prepayment schemes to the poor is difficult in developing countries because labor is largely informal. Providing health care free-at-point-of-service does not adequately target spending on the poorest, but occupation- or community-based schemes have also inherent limitations to achieve universal coverage. Colombia adopted a government-subsidized health insurance scheme (SHI) strategy. The political debate about increasing SHI enrollment needs evidence about the effectiveness of this scheme regarding financial protection. This study runs a four-part model to estimate the effect of SHI on out-of-pocket expenses by the poor that are currently uninsured, if they were enrolled in the SHI. The results show a 43% and 50% reduction in expenses at Bogotá and national level respectively, which confirms the effectiveness of SHI as a financial protection tool. |
format |
Documento de trabajo (Working Paper) |
author |
Castaño Yepez, Ramón Abel Zambrano, Andrés |
author_facet |
Castaño Yepez, Ramón Abel Zambrano, Andrés |
author_sort |
Castaño Yepez, Ramón Abel |
title |
Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
title_short |
Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
title_full |
Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
title_fullStr |
Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
title_full_unstemmed |
Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme |
title_sort |
financial protection for the poor in colombia: the effects of a subsidized health insurance scheme |
publisher |
Universidad del Rosario |
publishDate |
2017 |
url |
http://repository.urosario.edu.co/handle/10336/10976 |
_version_ |
1645142345343041536 |
score |
12,131701 |