JIJITANG2014-10-20 6:09 PM

HEALTH INSURANCE FOR INDIA’S POOR CUTS DEATH RATE



A government program that provides health insurance for catastrophic illness lowered both mortality rates and out-of-pocket expenses for people in households below the poverty line in Karnataka, India.

Researchers studied roughly 80,000 households from 600 villages and found a 64 percent drop in mortality from diseases covered by insurance.

The program, the Vajpayee Arogyashree Scheme (VAS), is implemented by the Karnataka government with support from the World Bank Group.

Among the findings, the research shows:

The risk of dying from conditions covered by the insurance dropped by 64 percent for residents with the insurance.

Out-of-pocket health expenditures for hospitalizations due to the covered conditions dropped by 60 percent.

Utilization of healthcare facilities for the covered conditions may have risen.

“This World Bank study clearly shows how this program benefits the health of the poor in Karnataka,” says U.T. Khader, the state’s Minister of Health and Family Welfare. “It provides hospital care that the poor would have difficulty receiving without the help of the scheme.”


UNIVERSAL HEALTH COVERAGE?

The free insurance covered specific high-impact medical conditions—such as heart disease and cancer—which poor residents often die from because they are unable to pay for the necessary expensive treatments.

Some of the unique features of the VAS program includes free tertiary care at both private and public hospitals empaneled by VAS for below-the-poverty-line (BPL) families with little or no access to tertiary care; automatic enrollment of all BPL families with no annual premiums, user fees, or copayments; and health camps in rural areas by empanelled hospitals, which helped screen patients for tertiary care and transport them to hospitals in urban centers.

“The results of this study are important to India as it makes choices on how to make progress towards universal health coverage,” says Onno Ruhl, World Bank Group Country Director for India. “The program shows how purchasing health services for the poorest can both improve health and provide protection from impoverishment due to out-of-pocket payments for health care.”

The study, published in the journal BMJ, included more than 82,000 households. Since the program was phased, covering poor households in the northern part of Karnataka in the first phase before expanding to the rest of the state, the study compared the health outcomes of roughly 45,000 households from villages that were covered by the insurance to roughly 37,000 households from villages that were not covered by the program.

“The study shows that public policy can play a strong role in reducing disparities in health due to socio-economic status. In villages without insurance, the poor had much higher mortality than the rich, but such disparities were completely eliminated in villages with insurance coverage,” says Neeraj Sood, professor and director of research at the Schaeffer Center for Health Policy and Economics at University of Southern California.

“Rates of early death and illness from chronic conditions—such as heart disease and cancer—have increased dramatically in India in the past few decades, putting the poor at high risk of not having access to services they need and incurring payments for health care that push them deeper into poverty,” says Patrick Mullen, a World Bank Group senior health specialist and the manager of the evaluation.

The World Bank Group’s Health Results Innovation Trust Fund funded the study. Researchers from Stanford University; University of California, Berkeley; the Indian Institute of Management in Bangalore; and the World Bank Group are coauthors.


Original Article:

Government health insurance for people below poverty line in India: quasi-experimental evaluation of insurance and health outcomes, Published on Journal 《BMJ》in Sep 25, 2014.

KEYWORDS

SHARE & LIKE

COMMENTS

ABOUT THE AUTHOR

JIJITANG

0 Following 3 Fans 0 Projects 310 Articles

SIMILAR ARTICLES

Changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) have resulted in families eating more fruits and vegetable

Read More

In contests drawn from game theory, chimpanzee pairs consistently outperform humans in games that test memory and strategic thinking.A new study, condu

Read More

Publishing is one of the most ballyhooed metrics of scientific careers, and every researcher hates to have a gap in that part of his or her CV. Here’s

Read More

Pornography triggers brain activity in people with compulsive sexual behaviour -- known commonly as sex addiction -- similar to that triggered by drugs

Read More

In a recent survey, academic staff at the University identified the interrelated skills of writing and reasoning as the two most important skills for s

Read More

In a recent survey, academic staff at the University identified the interrelated skills of writing and reasoning as the two most important skills for s

Read More

Reading cautionary tales like The Boy Who Cried Wolf and Pinocchio to little kids might not be the best way to teach them to tell the truth.New researc

Read More

Those flat, glassy solar panels on your neighbor’s roof may be getting a more efficient makeover, thanks to a new class of solar-sensitive nanoparticle

Read More

Physicists have overcome a major challenge in the science of measurement using quantum mechanics. They’ve used multiple detectors to measure photons in

Read More

If you want to slow down long enough to smell the proverbial roses, you might want to move to a neighborhood with fewer drive-thru restaurants, researc

Read More