Health insurance benefit packages prioritized by low-income clients in India: Three criteria to estimate effectiveness of choice

Dror, David M.; Koren, Ruth; Ost, Alexander; Binnendijk, Erika; Vellakkal, Sukumar; Danis, Marion

doi:10.1016/j.socscimed.2006.10.032

Cited by 53 publications

(39 citation statements)

References 14 publications

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“…In addition, the management of the schemes could explore whether ambulance services could be included in the package of benefits, as in the case of the CHI schemes in Rwanda [16]. A study on CHI schemes in India indicated that rural, illiterate communities can participate actively in the design of a benefit package and make judicious choices [11]. A similar study in Burkina Faso also showed that understanding and thereafter meeting, consumers' preferences can in fact ensure that policy makers set compound health interventions in line with people's needs and expectations, thus maximizing community participation [4].…”

Section: An Unattractive Benefit Packagementioning

confidence: 99%

Community health insurance in Uganda: Why does enrolment remain low? A view from beneath

Basaza¹,

Criel²,

Stuyft³

2008

Health Policy

125

166

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Section: An Unattractive Benefit Packagementioning

confidence: 99%

Community health insurance in Uganda: Why does enrolment remain low? A view from beneath

Basaza¹,

Criel²,

Stuyft³

2008

Health Policy

125

166

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“…In India, coverage of health insurance is very low with only about 3% of the population, mostly in formal sector, insured(Dror et al 2007). We ignore the impact of insurance in the present analysis.…”

mentioning

confidence: 99%

Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India

Pal

2012

Int J Health Care Finance Econ

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The present paper attempts to provide a new measure of catastrophic out-of-pocket health expenditure based on consumption of necessities. In literature, catastrophic expenditure is measured as out-of-pocket health expenditure that exceeds some fixed proportion of household income or household's capacity to pay. According the new measure proposed in this paper, OOP health expenditure is catastrophic if it reduces the non-health expenditure to a level where household is unable to maintain consumption of necessities. Based on this measure of catastrophic health expenditure, the paper examines determinants of catastrophic out-of-pocket health expenditure in India. The results show that, incidence of catastrophic OOP health expenditure increases with income, when we use the earlier measures. However, results based on the revised measure show that, the incidence of catastrophic payments goes down as income increases. Therefore, the analysis suggests that the findings are sensitive to the method used. The findings from multivariate analysis show economic and social status of Indian households are important determinants of incidence of catastrophic health expenditure. Education reduces the probability of incurring catastrophic health expenditure. Moreover, these findings are sensitive to measure of catastrophic OOP health expenditure and therefore, it is important to consider appropriate measure of catastrophic OOP health expenditure.

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“…14 See, for example, Churchill (2007); Dror et al (2007). 15 See, for example, Cohen and Sebstad (2005).…”

Section: Microinsurancementioning

confidence: 99%

“…Overall, 40 per cent of the total policies in microinsurance are related to life insurance, the remaining 60 per cent are equally distributed between health, disability and property insurance. 3 The high percentage for life insurance is mainly driven by credit life insurance policies, which are often sold as a bundle with microcredit products.14 See, for example, Churchill (2007); Dror et al (2007). 15 See, for example, Cohen and Sebstad (2005).…”

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confidence: 99%

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Insurability in Microinsurance Markets: An Analysis of Problems and Potential Solutions

Biener

Eling

2012

Geneva Pap Risk Insur Issues Pract

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This paper provides a comprehensive analysis of the insurability of risks in microinsurance markets. Our aim is to enhance the understanding of impediments to and facilitators of microinsurance from an economic perspective and outline potential solutions. The motivation for conducting this analysis arises from two important aspects. (1) Despite strong growth of microinsurance markets in recent years, more than 90 per cent of the poor population in developing countries have limited or no access to insurance.(2) Industry practitioners frequently highlight problems in the insurability of risks that hinder the development of microinsurance. We review 131 papers and find that the most severe problems stem from insufficient resources for risk evaluation, small size of insurance groups, information asymmetries and the size of the insurance premium. On the basis of the analysis, we discuss a number of potential solutions such as, for example, a cooperative microinsurance architecture. The Geneva Papers (2012) 37, 77-107. doi:10.1057/gpp.2011.29 Keywords: microinsurance; insurability; moral hazard; adverse selection IntroductionThe aim of this paper is to conduct a systematic analysis of the insurability of risks in microinsurance markets, point out critical aspects that hinder their development and outline potential solutions to problems in these markets. Microinsurance is commonly defined as a financial arrangement intended to protect low-income people against specific perils in exchange for regular premium payments proportionate to the likelihood and cost of the risk involved. 1 The microinsurance industry has seen strong growth in recent years, with average annual growth rates of approximately 10 per cent. 2 Industry practitioners, however, estimate that only 5 per cent of the potential market is covered, and that there is a high degree of variability in terms of risk and geographical coverage, leaving large segments of the world's poor population with limited or no access to insurance. 3 1 See Churchill (2007). There exist two widespread definitions of microinsurance. Churchill (2007) refers to microinsurance as insurance for low-income people. Dror and Jacquier (1999) define microinsurance as financially autonomous schemes operating at the local level. Throughout this paper, we refer to the definition by Churchill (2007), but also integrate the aspect that microinsurance is typically operated in small locally focused insurance schemes. 2 See Lloyd's and Microinsurance Centre (2009). 3 See Roth et al. (2007). The Geneva Papers, 2012, 37, (77-107) Providing insurance in developing countries is subject to a large array of problems, many of which are frequently addressed in practitioner studies. 4 These studies reveal numerous problems with insurability, including moral hazard, adverse selection, correlated risks, high transaction costs and lack of data, making microinsurance challenging from an economic perspective. Whereas insurability is relevant in all insurance markets, the crucial question in the case of...

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Health insurance benefit packages prioritized by low-income clients in India: Three criteria to estimate effectiveness of choice

Cited by 53 publications

References 14 publications

Community health insurance in Uganda: Why does enrolment remain low? A view from beneath

Community health insurance in Uganda: Why does enrolment remain low? A view from beneath

Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India

Insurability in Microinsurance Markets: An Analysis of Problems and Potential Solutions

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