An impact evaluation of medical insurance for poor in Georgia: preliminary results and policy implications

Health Policy and Planning
George GotsadzeNino Chkhaidze

Abstract

The objective of this article is to assess the impact of the new health financing reform in Georgia-'medical insurance for the poor (MIP)'-which uses private insurance companies and delivers state-subsidized health benefits to the poorest groups of the Georgian population. To evaluate the reform we looked at access to health care services and financial protection against health care costs, which are two key dimensions proposed for the universal coverage plans. The data from two nationally representative Health Utilization and Expenditure Surveys (2007 and 2010) were used, and a difference-in-difference method of evaluation was applied. The MIP was not found to have a significant impact on service utilization growth nationwide, but in the capital city the MIP insured were 12% more likely to use formal health services and 7.6% more likely to use hospitals as compared with other areas of the country. The MIP impact on out-of-pocket health expenditures was greater in reducing costs of accessing services. The cost reductions were sizable and more pronounced among the poorest. Finally, the MIP significantly increased the odds of obtaining free benefits by insured individuals as compared with the control group. Such an increase was mo...Continue Reading

References

Aug 15, 2003·Health Policy and Planning·Y J ChouHong-Jen Chang
Aug 18, 2004·Health Policy·Paolo BelliHelen Shahriari
Jun 21, 2005·Health Policy and Planning·George GotsadzeDavid Gzirishvili
Feb 27, 2007·Lancet·Luc Van LeemputNouria Brikci
Dec 11, 2008·PLoS Medicine·Kara HansonHeather Kinlaw
Jan 3, 2009·BMC Health Services Research·Roberto ValenteGianluca Ansaldo
Mar 31, 2010·Health Services & Outcomes Research Methodology·Benjamin L CookAlan M Zaslavsky
Sep 4, 2010·Health Policy and Planning·Qingyue MengPaul Garner
Sep 18, 2012·Bulletin of the World Health Organization·Ernst SpaanRob Baltussen

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