Effectiveness of micro health insurance on financial protection: Evidence from India

Savitha, B (2014) Effectiveness of micro health insurance on financial protection: Evidence from India. International Journal of Health Economics and Management, 15. pp. 53-71. ISSN 2199-9023

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Abstract

Iatrogenic poverty caused by inadequate public expenditure on health, lack of social health insurance and low penetration of private health insurance can be mitigated by micro health insurance (MHI) schemes that provide financial protection. The empirical evidence on the impact ofMHIon financial protection is limited in India. This paper elucidates the effect of Sampoorna Suraksha Programme (SSP), aMHI scheme in Karnataka on financial protection. Cross-sectional studywas undertaken in Karnataka and the datawas gathered from 416 insured, 366 newly insured and 364 uninsured households. The impact of SSP on out of pocket expenses (OOPE), catastrophic health expenditure (CHE), non-medical consumption expenditure, hardship financing and labour supply was analysed using linear and logistic regression methods. Results of the study demonstrate that insured members incurred lower OOPE, CHE and hardship finance. There was no effect on consumption expenditure and no direct impact on labour supply measured in terms of withdrawal from workforce and substitution of labour. We advocate a larger role of MHI in health financing in India since it curtails impoverishment of households in informal sector by reducing OOPE and hardship financing.

Item Type: Article
Uncontrolled Keywords: Micro health insurance • Financial protection • Catastrophic • Out of pocket expenses • Hardship financing • Consumption expenditure • Labour
Subjects: Management > MIM Manipal
Depositing User: MIM User
Date Deposited: 18 Apr 2016 15:13
Last Modified: 18 Apr 2016 15:13
URI: http://eprints.manipal.edu/id/eprint/145886

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