Insuring against health shocks: Health insurance and household choices

Liu, Kai

doi:10.1016/j.jhealeco.2016.01.002

Cited by 102 publications

(100 citation statements)

References 44 publications

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“…Evidence from the rollout of the Rural Resident Insurance program suggests that while insurance coverage made small reductions in OOP payments and reduced the severity of catastrophic financial burden (62,70), these effects are minimal once other covariates are controlled for and, in some comparative cases, are not statistically significant (13,39). Medical plans still lack sufficient coverage for catastrophic illness (84), and the central government has called for the implementation of catastrophic illness insurance (47).…”

Section: Access and Utilizationmentioning

confidence: 99%

China's Health Reform Update

Liu

Vortherms

Hong

2017

Annu. Rev. Public Health

214

215

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China experienced both economic and epistemological transitions within the past few decades, greatly increasing demand for accessible and affordable health care. These shifts put significant pressure on the existing outdated, highly centralized bureaucratic system. Adjusting to growing demands, the government has pursued a new round of health reforms since the late 2000s; the main goals are to reform health care financing, essential drug policies, and public hospitals. Health care financing reform led to universal basic medical insurance, whereas the public hospital reform required more complex measures ranging from changes in regulatory, operational, and service delivery settings to personnel management. This article reviews these major policy changes and the literature-based evidence of the effects of reforms on cost, access, and quality of care. It then highlights the outlook for future reforms. We argue that a better understanding of the unintended consequences of reform policies and of how practitioners' and patients' interests can be better aligned is essential for reforms to succeed.

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Section: Access and Utilizationmentioning

confidence: 99%

China's Health Reform Update

Liu

Vortherms

Hong

2017

Annu. Rev. Public Health

214

215

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“…In 2003, pilot counties were selected in each province based on three criteria: rural residents' willingness to participate, fiscal soundness, and a solid foundation for management (Liu, 2016). The NCMS was rolled out gradually at the county level.…”

Section: Institutional Backgroundmentioning

confidence: 99%

“…Both individual contributions and government subsidies finance the NCMS: The central government covers approximately 20%, the local government covers 50%, and the remaining 30% is covered by a household's premium payments (Liu, 2016). Both individual contributions and government subsidies finance the NCMS: The central government covers approximately 20%, the local government covers 50%, and the remaining 30% is covered by a household's premium payments (Liu, 2016).…”

Section: Institutional Backgroundmentioning

confidence: 99%

“…Previous studies examine the impacts of enrolling in the NCMS by comparing the outcome variables before and after the health insurance reform and between counties that have already implemented the program and those that have not (Liu, 2016;Wagstaff et al, 2009). The identifying assumption is that in the absence of the program, there would be a parallel trend in health and health care utilization between counties that and have not implemented it.…”

Section: Average Effectsmentioning

confidence: 99%

“…Closely related to the current work is a set of studies analyzing the role of public insurance in mitigating the adverse outcomes associated with shocks in developing countries (e.g., Chetty & Looney, 2006;Liu, 2016;Wagstaff et al, 2009;Wagstaff & Lindelow, 2008). Closely related to the current work is a set of studies analyzing the role of public insurance in mitigating the adverse outcomes associated with shocks in developing countries (e.g., Chetty & Looney, 2006;Liu, 2016;Wagstaff et al, 2009;Wagstaff & Lindelow, 2008).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Welfare consequences of access to health insurance for rural households: Evidence from the New Cooperative Medical Scheme in China

Sun

2019

Health Economics

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This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB of the resource cost of the NCMS. The estimated moral hazard costs are low compared with the total benefits. It is also estimated that the benefits originating from the NCMS's insurance function only constitute 20% of the total benefits, suggesting a need for higher generosity levels among rural households. Our results shed new light on the welfare effects of access health insurance among low-and middle-income households.

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Monthly spending dynamics of the elderly following a health shock: Evidence from Singapore

Cheng

Vaithianathan

2018

Health Economics

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We use novel longitudinal data from 19 monthly waves of the Singapore Life Panel to examine the short-term dynamics of the effects health shocks have on household health and nonhealth spending and income by the elderly. The health shocks we study are the occurrence of new major conditions such as cancer, heart problems, and minor conditions (e.g., diabetes and hypertension). Our empirical strategy is based on an event study approach that exploits unanticipated changes in health status through the diagnosis of new health conditions. We find that major shocks have large and persistent effects whereas minor shocks have small and mainly contemporaneous effects. We find that household income reduces following a major shock for males but not females. Major health shocks lead to a decrease in households' nonhealth expenditures that is particularly pronounced for cancer and stroke sufferers, driven largely by reductions in leisure spending. The financial impact of major shocks on medical saving account balances occurs to those without private health insurance, whereas the impact is on cash balances for privately insured individuals.

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Insuring against health shocks: Health insurance and household choices

Cited by 102 publications

References 44 publications

China's Health Reform Update

China's Health Reform Update

Welfare consequences of access to health insurance for rural households: Evidence from the New Cooperative Medical Scheme in China

Monthly spending dynamics of the elderly following a health shock: Evidence from Singapore

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