Economics at your fingertips  

Reforming the provision of cross-border medical care. Evidence from spain

Catalina Amuedo-Dorantes, Noelia Rivera-Garrido and Judit Vall Castello
Additional contact information
Catalina Amuedo-Dorantes: University of California–Merced
Noelia Rivera-Garrido: Universidad Loyola Andalucía

No 2021/02, Working Papers from Institut d'Economia de Barcelona (IEB)

Abstract: Cross-border medical care, defined as care facilitated by a local Health provider under pre-established regional agreements as n the case of EU citizens accessing care within EU countries, has been on the rise. Unlike medical tourism, typically sought by patients through their own volition and paid for out-of-pocket, cross-border medical care is often reimbursable or paid for directly by the responsable government. Yet, because nations vary in the extent of health coverage offered to their residents, these expenditures are often only partially reimbursed. The resulting financial burden for some countries can be large and not reciprocal, straining regional and country-level finances. We analyze the effectiveness of a legislative measure adopted by a Spanish region in January 2012 with the purpose of curbing cross-border Medical care. Using a comprehensive administrative dataset of all medical procedures performed in the country between 2008 and 2015, we find that the measure led to a drastic drop in the number of foreigners’ hospitalizations and a reduction of 4.8 million euros/trimester in costs. Finally, the decrease in hospitalizations did not disproportionally affect patients based on their gender, age, or origin; although it fostered a reduction in scheduled hospitalizations, as would be expected.

Keywords: Cross-border medical care; health care regulation; EU; Spain (search for similar items in EconPapers)
JEL-codes: H51 I12 I18 (search for similar items in EconPapers)
Pages: 47 pages
Date: 2021
References: Add references at CitEc

Downloads: (external link) ... evidence-from-spain/

Related works:
Journal Article: Reforming the provision of cross‐border medical care: Evidence from Spain (2022) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link:

Access Statistics for this paper

More papers in Working Papers from Institut d'Economia de Barcelona (IEB) Contact information at EDIRC.
Bibliographic data for series maintained by ().

Page updated 2024-07-09
Handle: RePEc:ieb:wpaper:doc2021-02