Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial
A cluster randomized controlled trial was undertaken, testing two sets of interventions to encourage enrollment in the Philippines' Individual Payer Program. Of 243 municipalities, 179 were randomly assigned as intervention sites and 64 as con...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/05/19581007/effects-interventions-raise-voluntary-enrollment-social-health-insurance-scheme-cluster-randomized-trial-vol-1 http://hdl.handle.net/10986/18793 |
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okr-10986-187932021-04-23T14:03:49Z Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial Capuno, Joseph J. Kraft, Aleli D. Quimbo, Stella Tan, Carlos R., Jr. Wagstaff, Adam ADVERSE SELECTION COMMUNITIES COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR INSURANCE ENROLLEES FAIRS FAMILIES FAMILY INCOME FINANCIAL PROTECTION HEALTH CARE HEALTH COVERAGE HEALTH ECONOMICS HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH ORGANIZATION HEALTH POLICY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH-CARE HEALTH-FINANCING HOUSEHOLD EXPENDITURE HOUSEHOLDS HUMAN DEVELOPMENT INCOME COUNTRIES INDIRECT COSTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION PACK INSURANCE COVERAGE INSURANCE PREMIUM INSURANCE PREMIUMS INTERVENTION INTERVENTIONS LOCALITIES MEDICAL PERSONNEL NATIONAL HEALTH NATIONAL HEALTH INSURANCE PATIENT PATIENTS POCKET PAYMENTS POLICY DISCUSSIONS POLICY RESEARCH PROBABILITY PUBLIC HOSPITAL QUALITY OF HEALTH SOCIAL HEALTH INSURANCE SOCIAL SCIENCE SOCIAL SECURITY SOCIAL SECURITY HEALTH INSURANCE URBAN AREA WORKERS A cluster randomized controlled trial was undertaken, testing two sets of interventions to encourage enrollment in the Philippines' Individual Payer Program. Of 243 municipalities, 179 were randomly assigned as intervention sites and 64 as controls. In early 2011, 2,950 families were interviewed; unenrolled Individual Payer Program-eligible families in intervention sites were given an information kit and a 50 percent premium subsidy until the end of 2011. In February 2012, the "non-compliers" had their voucher extended, were re-sent the enrollment kit, and received Short Message Service (SMS) reminders. Half were told that in the upcoming end-line interview the enumerator could help complete the enrollment form, deliver it to the insurer, and have identification cards mailed. The control and intervention sites were balanced at baseline. In the control sites, 9.9 percent (32/323) of eligible individuals had enrolled by January 2012, compared with 14.9 percent (119/801) in intervention sites. In the sub-experiment, enrollment was 3.4 percent (10/290) among eligible non-compliers and who did not receive assistance but 39.7 percent (124/312) among those who did. A premium subsidy combined with information can increase voluntary enrollment in a social health insurance program, but less than an intervention that reduces the enrollment burden; even that leaves enrollment below 50 percent. 2014-06-26T21:15:29Z 2014-06-26T21:15:29Z 2014-05 http://documents.worldbank.org/curated/en/2014/05/19581007/effects-interventions-raise-voluntary-enrollment-social-health-insurance-scheme-cluster-randomized-trial-vol-1 http://hdl.handle.net/10986/18793 English en_US Policy Research Working Paper;No. 6893 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research East Asia and Pacific Philippines |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ADVERSE SELECTION COMMUNITIES COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR INSURANCE ENROLLEES FAIRS FAMILIES FAMILY INCOME FINANCIAL PROTECTION HEALTH CARE HEALTH COVERAGE HEALTH ECONOMICS HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH ORGANIZATION HEALTH POLICY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH-CARE HEALTH-FINANCING HOUSEHOLD EXPENDITURE HOUSEHOLDS HUMAN DEVELOPMENT INCOME COUNTRIES INDIRECT COSTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION PACK INSURANCE COVERAGE INSURANCE PREMIUM INSURANCE PREMIUMS INTERVENTION INTERVENTIONS LOCALITIES MEDICAL PERSONNEL NATIONAL HEALTH NATIONAL HEALTH INSURANCE PATIENT PATIENTS POCKET PAYMENTS POLICY DISCUSSIONS POLICY RESEARCH PROBABILITY PUBLIC HOSPITAL QUALITY OF HEALTH SOCIAL HEALTH INSURANCE SOCIAL SCIENCE SOCIAL SECURITY SOCIAL SECURITY HEALTH INSURANCE URBAN AREA WORKERS |
| spellingShingle |
ADVERSE SELECTION COMMUNITIES COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR INSURANCE ENROLLEES FAIRS FAMILIES FAMILY INCOME FINANCIAL PROTECTION HEALTH CARE HEALTH COVERAGE HEALTH ECONOMICS HEALTH FINANCING HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH ORGANIZATION HEALTH POLICY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH-CARE HEALTH-FINANCING HOUSEHOLD EXPENDITURE HOUSEHOLDS HUMAN DEVELOPMENT INCOME COUNTRIES INDIRECT COSTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION PACK INSURANCE COVERAGE INSURANCE PREMIUM INSURANCE PREMIUMS INTERVENTION INTERVENTIONS LOCALITIES MEDICAL PERSONNEL NATIONAL HEALTH NATIONAL HEALTH INSURANCE PATIENT PATIENTS POCKET PAYMENTS POLICY DISCUSSIONS POLICY RESEARCH PROBABILITY PUBLIC HOSPITAL QUALITY OF HEALTH SOCIAL HEALTH INSURANCE SOCIAL SCIENCE SOCIAL SECURITY SOCIAL SECURITY HEALTH INSURANCE URBAN AREA WORKERS Capuno, Joseph J. Kraft, Aleli D. Quimbo, Stella Tan, Carlos R., Jr. Wagstaff, Adam Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| geographic_facet |
East Asia and Pacific Philippines |
| relation |
Policy Research Working Paper;No. 6893 |
| description |
A cluster randomized controlled trial
was undertaken, testing two sets of interventions to
encourage enrollment in the Philippines' Individual
Payer Program. Of 243 municipalities, 179 were randomly
assigned as intervention sites and 64 as controls. In early
2011, 2,950 families were interviewed; unenrolled Individual
Payer Program-eligible families in intervention sites were
given an information kit and a 50 percent premium subsidy
until the end of 2011. In February 2012, the
"non-compliers" had their voucher extended, were
re-sent the enrollment kit, and received Short Message
Service (SMS) reminders. Half were told that in the upcoming
end-line interview the enumerator could help complete the
enrollment form, deliver it to the insurer, and have
identification cards mailed. The control and intervention
sites were balanced at baseline. In the control sites, 9.9
percent (32/323) of eligible individuals had enrolled by
January 2012, compared with 14.9 percent (119/801) in
intervention sites. In the sub-experiment, enrollment was
3.4 percent (10/290) among eligible non-compliers and who
did not receive assistance but 39.7 percent (124/312) among
those who did. A premium subsidy combined with information
can increase voluntary enrollment in a social health
insurance program, but less than an intervention that
reduces the enrollment burden; even that leaves enrollment
below 50 percent. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Capuno, Joseph J. Kraft, Aleli D. Quimbo, Stella Tan, Carlos R., Jr. Wagstaff, Adam |
| author_facet |
Capuno, Joseph J. Kraft, Aleli D. Quimbo, Stella Tan, Carlos R., Jr. Wagstaff, Adam |
| author_sort |
Capuno, Joseph J. |
| title |
Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| title_short |
Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| title_full |
Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| title_fullStr |
Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| title_full_unstemmed |
Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial |
| title_sort |
effects of interventions to raise voluntary enrollment in a social health insurance scheme : a cluster randomized trial |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/05/19581007/effects-interventions-raise-voluntary-enrollment-social-health-insurance-scheme-cluster-randomized-trial-vol-1 http://hdl.handle.net/10986/18793 |
| _version_ |
1764442701518864384 |