Does Population Sorting through Internal Migration Increase Healthcare Costs and Needs in Peripheral Regions?

Shobhit Kulshreshtha, Martin Salm () and Ansgar Wübker ()
Additional contact information
Shobhit Kulshreshtha: Tilburg University
Martin Salm: Tilburg University
Ansgar Wübker: RWI

No 15559, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: Large regional disparities in health and healthcare costs prevail in many countries, but our understanding of the underlying causes is still limited. This study shows for the case of the Netherlands that population sorting through internal migration can explain a substantial share, around 28%, of regional variation in healthcare costs. Internal migration during the 1998-2018 period increases average healthcare costs in peripheral provinces by up to 3%. Most of this effect can be attributed to selective migration. We find similar results for risk scores, a measure of healthcare needs. The Dutch risk equalization scheme compensates only partially for these effects.

Keywords: regional variation in healthcare costs; internal migration; movers approach; regional disparities (search for similar items in EconPapers)
JEL-codes: H51 I14 R23 (search for similar items in EconPapers)
Pages: 75 pages
Date: 2022-09
New Economics Papers: this item is included in nep-hea, nep-mig and nep-ure
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://docs.iza.org/dp15559.pdf (application/pdf)

Related works:
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: https://EconPapers.repec.org/RePEc:iza:izadps:dp15559

Ordering information: This working paper can be ordered from
IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany

Access Statistics for this paper

More papers in IZA Discussion Papers from Institute of Labor Economics (IZA) IZA, P.O. Box 7240, D-53072 Bonn, Germany. Contact information at EDIRC.
Bibliographic data for series maintained by Holger Hinte ().