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Heterogeneous Impacts of Basic Social Health Insurance on Medical Expenditure: Evidence from China’s New Cooperative Medical Scheme

This paper examines the effects of China’s New Cooperative Medical Scheme (NCMS) on medical expenditure. Utilizing the quasi-random rollout of the NCMS for a difference-in-difference analysis, we find that the NCMS increased medical expenditure by 12.3%. Most significantly, the good-health group wit...

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Detalles Bibliográficos
Autores principales: Fang, Conglong, He, Chaofei, Rozelle, Scott, Shi, Qinghua, Sun, Jiayin, Yu, Ning
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955686/
https://www.ncbi.nlm.nih.gov/pubmed/31684191
http://dx.doi.org/10.3390/healthcare7040131
Descripción
Sumario:This paper examines the effects of China’s New Cooperative Medical Scheme (NCMS) on medical expenditure. Utilizing the quasi-random rollout of the NCMS for a difference-in-difference analysis, we find that the NCMS increased medical expenditure by 12.3%. Most significantly, the good-health group witnessed a 22.1% rise in medical expenditure, and the high-income group saw a rise of 20.6%. The effects, however, were not significant among the poor-health or low-income groups. The findings are suggestive of the need for more help for the very poor and less healthy.