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|Title:||Does free supplementary health insurance help the poor to access health care? [electronic resource]|
Lavis, John N.
Centre for Health Economics and Policy Analysis
|Keywords:||Health Services Accessibility;economics;Health Services Accessibility;economics;Medical Indigency;statistics & numerical data;Universal Coverage;organization & administration;Universal Coverage;organization & administration;Insurance, Health;economics;Insurance, Health;economics;Eligibility Determination;Eligibility Determination;National Health Programs;National Health Programs;Poverty;Poverty|
|Publisher:||McMaster University, Centre for Health Economics and Policy Analysis|
|Series/Report no.:||CHEPA working paper series 06-02|
|Abstract:||The French government introduced a "free supplementary health insurance plan" in 2000, which covers most of the out-of-pocket payments faced by the poorest 10% of French residents. This plan was designed to help the non-elderly poor to access health care. To assess the impact of the introduction of the plan on its beneficiaries, we use a longitudinal dataset to compare, for the same individual, the evolution of his/her expenditures before and after enrolment [sic] in the plan. This longitudinal analysis allows us to remove most of the spuriousness due to individual heterogeneity, and we also use information on past coverage to evaluate the impact of specific benefits associated with the plan. As a result, we can properly assess the impact of the plan on those who enrolled in it. However, we cannot assess the impact of the plan on all of those who were eligible to enroll. Our main result is the plan's lack of an overall effect on utilization. This result is likely attributable to the fact that those who were enrolled automatically in the free plan (the majority of enrollees), already benefited from a relatively generous plan. The significant effect among those who enrolled voluntarily in the free plan was likely driven by those with no previous supplemental coverage|
|Description:||Michel Grignon, Marc Perronnin, John N. Lavis.|
Title from title page of source document (viewed Nov. 29, 2006).
Includes bibliographical references.
Mode of access: World Wide Web.
|Appears in Collections:||CHEPA Working Paper Series|
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