Effects of NCMS on access to care and financial protection in China.

Abstract:

:The introduction of the New Cooperative Medical Scheme (NCMS) in rural China has been the most rapid and dramatic extension of health insurance coverage in the developing world in this millennium. The literature to date has mainly used the uneven rollout of NCMS across counties as a way of identifying its effects on access to care and financial protection. This study exploits the cross-county variation in NCMS generosity in 2006 and 2008 in the Ningxia and Shandong provinces to estimate the effect of coverage generosity on utilization and financial protection. Our results confirm earlier findings of NCMS being effective in increasing access to care but not in increasing financial protection. In addition, we find NCMS enrollees to be sensitive to the price incentives set in the NCMS design when choosing their provider and providers to respond by increasing prices and/or providing more expensive care.

journal_name

Health Econ

journal_title

Health economics

authors

Hou Z,Van de Poel E,Van Doorslaer E,Yu B,Meng Q

doi

10.1002/hec.2965

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

917-34

issue

8

eissn

1057-9230

issn

1099-1050

journal_volume

23

pub_type

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