scholarly journals The Impact of Children's Public Health Insurance Expansions on Educational Outcomes

2009 ◽  
Author(s):  
Phillip Levine ◽  
Diane Whitmore Schanzenbach
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Educational Outcomes ◽  
Public Health Insurance ◽  
The Impact

scholarly journals The Impact of Children's Public Health Insurance Expansions on Educational Outcomes

2009 ◽  
Vol 12 (1) ◽  
Author(s):  
Phillip B Levine ◽  
Diane Schanzenbach
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Health Status ◽  
Educational Outcomes ◽  
Test Scores ◽  
Children's Health ◽  
Public Health Insurance ◽  
Children’S Health ◽  
Percentage Point Increase ◽  
The Impact

This paper examines the impact of public health insurance expansions through both Medicaid and SCHIP on children's educational outcomes, measured by 4th and 8th grade reading and math test scores, available from the National Assessment of Educational Progress (NAEP). We use a triple difference estimation strategy, taking advantage of the cross-state variation over time and across ages in children's health insurance eligibility. Using this approach, we find that test scores in reading, but not math, increased for those children affected at birth by increased health insurance eligibility. A 50 percentage point increase in eligibility is found to increase reading test scores by 0.09 standard deviations. We also examine whether the improvements in educational outcomes can be at least partially attributed to improvements in health status itself. First, we provide further evidence that increases in eligibility are linked to improvements in health status at birth. Second, we show that better health status at birth (measured by rates of low birth-weight and infant mortality), is linked to improved educational outcomes. Although the methods used to support this last finding do not completely eliminate potentially confounding factors, we believe it is strongly suggestive that improving children's health will improve their classroom performance.

scholarly journals Measuring the Impact of Outreach and Enrollment Strategies for Public Health Insurance in California

2010 ◽  
Vol 46 (1p2) ◽  
pp. 319-335 ◽  
Author(s):  
Michael R. Cousineau ◽  
Gregory D. Stevens ◽  
Albert Farias
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Public Health Insurance ◽  
The Impact

scholarly journals Public Health Insurance and Maternal Health Care Utilization in India: Evidence from a 2005-2012 Mothers’ Cohort Study

2020 ◽  
Author(s):  
Tesfaye Gebremedhin ◽  
Itismita Mohanty ◽  
Theo Niyonsenga
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Household Wealth ◽  
Public Health Insurance ◽  
Insurance Scheme ◽  
Public Insurance ◽  
The Public ◽  
The Impact ◽  
Over Time

Abstract Background: Janani Suraksha Yojana (JSY), a conditional cash transfer program in India, incentivized women to deliver at institutions and resulted in a significant increase in institutional births. Another major health policy reform, which could have influenced maternal and child health care (MCH) utilisation, was the public health insurance scheme called Rashtriya Swasthya Bima Yojana (RSBY) launched in 2008. However, there is lack of evidence on how RSBY impacted MCH utilisation in India. This study investigated the impact of health insurance (in particular, the public insurance scheme versus private insurance) on a continuum of MCH utilisation. We also investigated whether maternal empowerment was a significant correlate that affects MCH utilisation. Methods: The study used a multilevel mixed effect ordered logistic regression modelling, using a cohort of mothers whose delivery was captured in both the 2005 and 2011/12 rounds of the Indian Human Development Survey (IHDS). We derived indexes for women’s empowerment using Principal component analysis (PCA) technique applied to various indicators of women’s autonomy and socio-economic status. Results: Our results indicated, mothers’ MCH utilization levels vary by district, community and mother over time. The effect of the public insurance scheme (RSBY) on MCH utilisation was not as strong as privately available insurance. However, health insurance was only significant in models that did not control for household and mother level predictors. Our findings indicated that maternal empowerment indicators – in particular, maternal ability to go out of the house and complete chores and economic empowerment - were associated with higher utilization of MCH services. Among control variables, maternal age, education and household wealth were significant correlates that increase MCH service utilization over time. Conclusions: Change in women’s and societal attitude towards maternal care may have played a significant role in increasing MCH utilisation over the study period. There might be a need to increase the coverage of the public insurance scheme given the finding that it was less effective in increasing MCH utilisation. Importantly, policies that aim to improve health services for women need to take maternal autonomy and empowerment into consideration.

The Impact of Private and Public Health Insurance on Medication Use for Adults with Chronic Diseases

2005 ◽  
Vol 62 (2) ◽  
pp. 231-249 ◽  
Author(s):  
Thomas Rice ◽  
Shana Alex Lavarreda ◽  
Ninez A. Ponce ◽  
E. Richard Brown
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Chronic Diseases ◽  
Medication Use ◽  
Public Health Insurance ◽  
Private And Public ◽  
The Impact

scholarly journals The Impact of Public Health Insurance on Household Credit Availability in Rural China: Evidence from NRCMS

2020 ◽  
Vol 17 (18) ◽  
pp. 6595
Author(s):  
Qing Yang ◽  
Qing Xu ◽  
Yufeng Lu ◽  
Jin Liu
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Low Income ◽  
Economic Effect ◽  
Rural Households ◽  
Large Body ◽  
Public Health Insurance ◽  
Credit Availability ◽  
Household Credit ◽  
The Impact

A large body of literature has shown that the burden of healthcare can push individuals and households into the burden of medical care and income loss. This makes it difficult for rural or low-income households to obtain and use safe and affordable formal credit services. In 2003, China’s government implemented a new rural public health insurance, which was called the New Rural Cooperative Medical Scheme (NRCMS). This study provides evidence of the impact of NRCMS on household credit availability using the China Family Panel Studies (CFPS) for 2010. The tobit regression approach and mediator model are used. The results show that, as a public health insurance system sustained by the participation of government investment, the NRCMS provides good “collateral” and significantly enhances rural households’ formal credit availability level. Furthermore, this positive effect is mainly reflected in the economic effect of NRCMS. Our results are robust to alternative statistical methods. Our findings suggest that expanding access, fulfilling the NRCMS mortgage function, and providing more financial services for rural households would have big benefits with regard to easing credit constraints for rural residents.

scholarly journals Public Medical Insurance and Healthcare Utilization and Expenditures of Older with Chronic Diseases in Rural China: Evidence from NRCMS

2020 ◽  
Vol 17 (20) ◽  
pp. 7683
Author(s):  
Qi Liu ◽  
Jin Liu ◽  
Shuntian Sui
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Chronic Diseases ◽  
Rural China ◽  
Health Care Service ◽  
Outpatient Service ◽  
Public Health Insurance ◽  
Care Utilization ◽  
The Impact

China’s rural older are the threat from chronic diseases, making it important to evaluate the effect of public health insurance on the health care utilization and expenditures with chronic diseases. In 2003, China initiated a public health insurance, which was called the New Rural Cooperative Medical System (NRCMS). NRCMS is a voluntary program, targeting rural residents with government subsidies and individual contribution. Using the two-stage residual inclusion approach (2SRI), we analyzed the impact of NRCMS on health-care service utilization and expenditure of rural older with chronic diseases by using the 2011 and 2013 China Health and Retirement Survey (CHARLS) data. The results showed NRCMS did not play an effective role on improving the medical services utilization of rural older with chronic diseases. Although NRCMS immediate reimbursement significantly reduced the outpatient service fee, the actual outpatient reimbursement is the opposite. In addition, NRCMS did not significantly decrease their hospitalization expense. Policy makers should pay attention to health management about chronic diseases in rural China, and some measures should be taken to deepen the medical security system reform and improve the public health service system.

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