Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme
Ramón Castaño () and
Andres Zambrano ()
Documentos de Trabajo from Universidad del Rosario
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.
Keywords: Financial protection; subsidized insurance; out of pocket expenses; Colombia (search for similar items in EconPapers)
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Persistent link: https://EconPapers.repec.org/RePEc:col:000092:002723
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