Journal
AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
Volume 5, Issue 4, Pages 61-91Publisher
AMER ECONOMIC ASSOC
DOI: 10.1257/app.5.4.61
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Funding
- Economic and Social Research Council [ES/H021221/1] Funding Source: researchfish
- ESRC [ES/H021221/1] Funding Source: UKRI
- NIA NIH HHS [P30 AG017253] Funding Source: Medline
- NICHD NIH HHS [K01 HD053504] Funding Source: Medline
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Unexpected medical care spending imposes considerable financial risk on developing country households. Based on managed care models of health insurance in wealthy countries, Colombia's Regimen Subsidiado is a publicly financed insurance program targeted to the poor, aiming both to provide risk protection and to promote allocative efficiency in the use of medical care. Using a fuzzy regression discontinuity design, we find that the program has shielded the poor from some financial risk while increasing the use of traditionally underutilized preventive services-with measurable health gains.
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