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The challenges of universal health insurance in developing countries: Experimental evidence from Indonesia’s national health insurance

By: Banerjee, Abhijit, et al.
Material type: materialTypeLabelBookPublisher: The American Economic Review Description: 111(3), Sep, 2021: p.3035-3063. In: The American Economic ReviewSummary: To investigate barriers to universal health insurance in developing countries, we designed a randomized experiment involving about 6,000 households in Indonesia who are subject to a government health insurance program with a weakly enforced mandate. Time-limited subsidies increased enrollment and attracted lower-cost enrollees, in part by reducing the strategic timing of enrollment to correspond with health needs. Registration assistance also increased enrollment, but increased attempted enrollment much more, as over one-half of households who attempted to enroll did not successfully do so. These findings underscore how weak administrative capacity can create important challenges in developing countries for achieving widespread coverage. – Reproduced
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Articles Articles Indian Institute of Public Administration
111(3), Sep, 2021: p.3035-3063 Available AR126212

To investigate barriers to universal health insurance in developing countries, we designed a randomized experiment involving about 6,000 households in Indonesia who are subject to a government health insurance program with a weakly enforced mandate. Time-limited subsidies increased enrollment and attracted lower-cost enrollees, in part by reducing the strategic timing of enrollment to correspond with health needs. Registration assistance also increased enrollment, but increased attempted enrollment much more, as over one-half of households who attempted to enroll did not successfully do so. These findings underscore how weak administrative capacity can create important challenges in developing countries for achieving widespread coverage. – Reproduced

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