scholarly journals A “politically robust” experimental design for public policy evaluation, with application to the Mexican Universal Health Insurance program

2007 ◽  
Vol 26 (3) ◽  
pp. 479-506 ◽  
Author(s):  
Gary King ◽  
Emmanuela Gakidou ◽  
Nirmala Ravishankar ◽  
Ryan T. Moore ◽  
Jason Lakin ◽  
...  
Keyword(s):  
Public Policy ◽  
Health Insurance ◽  
Experimental Design ◽  
Policy Evaluation ◽  
Universal Health Insurance ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Public Policy Evaluation ◽  
Universal Health

scholarly journals The Challenges of Universal Health Insurance in Developing Countries: Experimental Evidence from Indonesia’s National Health Insurance

2021 ◽  
Vol 111 (9) ◽  
pp. 3035-3063
Author(s):  
Abhijit Banerjee ◽  
Amy Finkelstein ◽  
Rema Hanna ◽  
Benjamin A. Olken ◽  
Arianna Ornaghi ◽  
...  
Keyword(s):  
Developing Countries ◽  
Health Insurance ◽  
Lower Cost ◽  
Health Needs ◽  
Universal Health Insurance ◽  
Administrative Capacity ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Universal Health ◽  
Do So

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. (JEL D82, G22, H51, I13, I18, O15)

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