State Health Insurance and Out-of-Pocket Health Expenditures in Andhra Pradesh, India - Working Paper 298

Victoria Fan
Authors registered in the RePEc Author Service: Victoria Y. Fan and Ajay Mahal

No 298, Working Papers from Center for Global Development

Abstract: In 2007, the state of Andhra Pradesh in southern India began rolling out the Aarogyasri health insurance to reduce catastrophic health expenditures in households “below the poverty line.” We exploit variation in program roll-out over time and districts to evaluate the impacts of the scheme using difference-in-differences. Our results suggest that, within the first year of implementation, Phase I of Aarogyasri significantly reduced out-of-pocket inpatient expenditures and, to a lesser extent, outpatient expenditures. These results are robust to checks using quantile regression and matching methods. No clear effects on catastrophic health expenditures or medical impoverishment are seen. Aarogyasri is not benefiting scheduled caste and scheduled tribe households as much as the rest of the population.

Keywords: health insurance; health expenditure; tertiary care; poverty; India (search for similar items in EconPapers)
JEL-codes: G22 I18 I38 (search for similar items in EconPapers)
Pages: 53 pages
Date: 2012-06
New Economics Papers: this item is included in nep-hea and nep-ias
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (12)

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